Organization
RENU WELLNESS INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CHURCH MD (PRESIDENT)
(480) 265-0890
Entity
Organization
Contact information
Practice address
130 S VAL VISTA DR STE 102, GILBERT, AZ 85296-1363
(480) 265-0890
Mailing address
10810 N TATUM BLVD, SUITE 102-302, PHOENIX, AZ 85028-6055
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
28649
AZ
Other
Enumeration date
11/28/2016
Last updated
12/03/2018
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