| Renew Health Of Arizona Llc | |
|
426 E Southern Ave Ste 101 Tempe AZ 85282-5215 | |
| (480) 681-7979 | |
| Not Available |
| Full Name | Renew Health Of Arizona Llc |
|---|---|
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 426 E Southern Ave Ste 101, Tempe, Arizona |
| Authorized Official Name and Position | Aaron Ketcher (OWNER) |
| Authorized Official Contact | 4806817979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Health Of Arizona Llc 4420 N Sonoma Ranch Blvd Ste B Las Cruces NM 88011-7342 Ph: (575) 532-1334 | Renew Health Of Arizona Llc 426 E Southern Ave Ste 101 Tempe AZ 85282-5215 Ph: (480) 681-7979 |
| NPI Number | 1063229797 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063229797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
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