Regenerative Foot & Ankle LLC

NPI #1154822369 in Peoria, Arizona

Provider Information

NPI Number
1154822369
Entity Type
Organization
Organization Name
Regenerative Foot & Ankle LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Feb 22, 2018
Last Updated
Feb 10, 2020

Practice Location

Address
13660 N 94TH DR STE F1
City
Peoria
State
Arizona
ZIP Code
85381-4232
Phone
(623) 974-0522

Authorized Official

Name
STEVEN SHANE MOORE
Title
MANAGER
Phone
(623) 974-0522

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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