Organization
COMPREHENSIVE SURGICAL CARE OF ALBUQUERQUE, LLC
Active
Parent organization
REGEN ASC MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGEN ASC MANAGEMENT, LLC
Authorized official
JOEL RAINWATER MD (CEO)
(480) 219-0123
Entity
Organization
Contact information
Practice address
4700 JEFFERSON ST NE STE 100, ALBUQUERQUE, NM 87109-2130
(505) 932-7112
Mailing address
8475 E HARTFORD DR STE 201, SCOTTSDALE, AZ 85255-5477
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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