NPI 1104658293
Regenaderm LLC
Practice location
- Address
- 7510 Highway 107, Sherwood, AR 72120-4645
- Phone
- (479) 439-9696
- Fax
- (479) 485-2055
- Mailing address
- PO Box 105, Farmington, AR 72730-0105
Authorised official
- Name
- Charles Floyd
- Title
- Ceo
- Phone
- (501) 529-3953
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1104658293
- Entity type
- Organization
- NPI issued
- 16 Aug 2024
- Record last updated
- 3 Apr 2025
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.