Organization
ARIZONA PRIMARY CARE & REGENERATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA DRISKELL (CREDENTIALING)
(727) 287-6300
Entity
Organization
Contact information
Practice address
1611 W SILVER PINE DR, PHOENIX, AZ 85086-1930
(602) 206-2885
Mailing address
PO BOX 1685, PALM HARBOR, FL 34682-1685
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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