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Organization

SPINE AND REGENERATIVE MEDICINE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL G GAITAN MD (OWNER)
(602) 889-9880
Entity
Organization

Contact information

Practice address
11030 N TATUM BLVD, BLDG F, SUITE 101, PHOENIX, AZ 85028-6073
(602) 889-9880
(480) 393-7444
Mailing address
11030 N TATUM BLVD, BLDG F, SUITE 101, PHOENIX, AZ 85028-6073
(602) 889-9880
(480) 393-7444

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
06/24/2025
Last updated
06/24/2025
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