Center for Regenerative Medicine PA

NPI #1093364820 in Bryant, Arkansas

Provider Information

NPI Number: 1093364820
Entity Type: Organization
Organization Name: Center for Regenerative Medicine PA
Primary Specialty: General Practice
Enumeration Date: Sep 4, 2019
Last Updated: Aug 18, 2021

Practice Location

Address: 3525 HIGHWAY 5 N STE 200
City: Bryant
State: Arkansas
ZIP Code: 72019-9092
Phone: (501) 333-6654

Authorized Official

Name: DR. GERALD STIPANUK, MD
Title: INCORPORATER/ORGANIZER/OWNER
Phone: (870) 201-0534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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