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

Premier Regenerative Centers of Arizona, PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1679059984

Premier Regenerative Centers of Arizona, PLLC is an Ambulatory Surgical Clinic/Center in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2629 N Scottsdale Rd Ste 100
Scottsdale, AZ 85257
Phone: (602) 510-3203
Fax: (602) 297-6997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X (AZ)

Record details

NPI number1679059984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Mankin — Administrator · (602) 510-3203
NPI enumeratedJuly 19, 2018
Last updated in NPPESJuly 23, 2018
Mailing address2629 N Scottsdale Rd Ste 100, Scottsdale, AZ 85257-1370

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