| Regen 360 Indy Llc | |
|
70 E 91st St Ste 101 Indianapolis IN 46240-1550 | |
| (312) 972-8307 | |
| Not Available |
| Full Name | Regen 360 Indy Llc |
|---|---|
| Speciality | General Practice |
| Location | 70 E 91st St Ste 101, Indianapolis, Indiana |
| Authorized Official Name and Position | Tori Lynn Matthews (MANAGER) |
| Authorized Official Contact | 8179159965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regen 360 Indy Llc 14251 Langham Dr Carmel IN 46074-4401 Ph: (312) 972-8307 | Regen 360 Indy Llc 70 E 91st St Ste 101 Indianapolis IN 46240-1550 Ph: (312) 972-8307 |
| NPI Number | 1851911945 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851911945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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