Organization
PREMIER REGENERATIVE CENTERS OF ARIZONA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MANKIN MSN, RN (ADMINISTRATOR)
(602) 510-3203
Entity
Organization
Contact information
Practice address
2629 N SCOTTSDALE RD STE 100, SCOTTSDALE, AZ 85257
(602) 510-3203
(602) 297-6997
Mailing address
2629 N SCOTTSDALE RD STE 100, SCOTTSDALE, AZ 85257-1370
(602) 510-3203
(602) 297-6997
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
Other
Enumeration date
07/19/2018
Last updated
07/23/2018
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