NPI 1093364820

Center for Regenerative Medicine PA

Organisation General Practice Physician Bryant, AR

Practice location

Address: 3525 Highway 5 N STE 200, Bryant, AR 72019-9092
Phone: (501) 333-6654

Authorised official

Name: Gerald Stipanuk
Title: Incorporater/Organizer/Owner
Phone: (870) 201-0534

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Arkansas →

Registry record

NPI: 1093364820
Entity type: Organization
NPI issued: 4 Sep 2019
Record last updated: 18 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.