| NPI | 1487374567 |
|---|---|
| Doing Business As | RENEW STEM CELL AND LASER |
| Entity Type | Organization |
| Authorized Contact | KERRY PHELPS President 480-313-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |