Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glendale Regenerative Medicine

Organization Pain Clinic/Center · NPI 1568047595

Glendale Regenerative Medicine is a Pain Clinic/Center in Glendale, Arizona. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

18301 N 79th Ave Ste F168
Glendale, AZ 85308-6045
Phone: (623) 544-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X

Record details

NPI number1568047595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seth Cark — Partner · (623) 544-9090
NPI enumeratedMarch 11, 2021
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021
Mailing address18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045

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