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REGEN ADVANCED INFUSION AND WELLNESS NPI 1083375307


NPI Information

NPI: 1083375307
Provider Name: REGEN ADVANCED INFUSION AND WELLNESS
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
14067 W CYPRESS ST
GOODYEAR, AZ
ZIP 85395
Phone: (602) 380-4090
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REGEN ADVANCED INFUSION AND WELLNESS is an emergency medicine in Goodyear, AZ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. REGEN ADVANCED INFUSION AND WELLNESS NPI is 1083375307. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14067 W CYPRESS ST
GOODYEAR, AZ
ZIP 85395-703
Phone: (602) 380-4090

The provider's authorized official is Bruce Daniel Bishop .
The authorized official title is Partner and has the following contact phone number (480) 341-5174.

The enumeration date for this NPI number is 1/8/2022 and was last updated on 2/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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