Renovo Clinic

NPI 1174810766 - Clinic/Center - 261QH0100X

NPI Details
NPI 1174810766
Enumeration Date 07/01/2011
Last Updated 07/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name STUART ALLAN STUART
Position CHIEF MEDICAL OFFICER
Phone (480) 214-5099
Fax (866) 368-5410
Practice Location
2680 S VAL VISTA DR
SUITE 187
GILBERT AZ, 85295-2152, US
Phone (480) 214-5099
Fax (866) 368-5410
Business Location
2680 S VAL VISTA DR
SUITE 187
GILBERT AZ, 85295-2152, US
Phone (480) 214-5099
Fax (866) 368-5410
Toxanomy
Taxonomy Code 261QH0100X
License State
License Number
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According to our database, Renovo Clinic NPI is 1174810766, taxonomy code is 261QH0100X Renovo Clinic physically located at 2680 S Val Vista Dr, Gilbert AZ, 85295-2152. NPI Number 1033115704 has the healthcare provider type.

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1174810766 NPI number is provided on an as is basis without warranty of any kind. 1174810766 is maintained by the National Plan & Provider Enumeration System. The contents of Renovo Clinic are for informational purposes only.