NPI | 1467032367 |
---|---|
Doing Business As | RENEW HEALTH OTC |
Entity Type | Organization |
Authorized Contact | MICHAEL ROBERT COMPTON Owner 480-681-7979 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2021-04-13 |
Last Update Date | 2021-04-13 |