RENOVO CLINIC; NPI #1174810766

Contact Information

RENOVO CLINIC

2680 S VAL VISTA DR
SUITE 187
GILBERT, AZ 85295-2152

Phone: 480-214-5099
Fax: 866-368-5410
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for RENOVO CLINIC

NPI Number	`1174810766`
LBN Legal business name	RENOVO CLINIC
Authorized official	STUART SEALE - (CHIEF MEDICAL OFFICER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	07/01/2011
Last updated	07/01/2011 - About 15 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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