Organization
RENEW HEALTH SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON KETCHER DNP (OWNER)
(480) 215-9003
Entity
Organization
Contact information
Practice address
426 E SOUTHERN AVE STE 102, TEMPE, AZ 85282-5215
(480) 681-7979
Mailing address
1517 E BLUEBIRD CT, GILBERT, AZ 85297-6820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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