Regen Advanced Infusion and Wellness

NPI #1083375307 in Goodyear, Arizona

Provider Information

NPI Number: 1083375307
Entity Type: Organization
Organization Name: Regen Advanced Infusion and Wellness
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 8, 2022
Last Updated: Feb 1, 2022

Practice Location

Address: 14067 W CYPRESS ST
City: Goodyear
State: Arizona
ZIP Code: 85395-5703
Phone: (602) 380-4090

Authorized Official

Name: BRUCE DANIEL BISHOP, MD
Title: PARTNER
Phone: (480) 341-5174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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