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

Renovare Clinic of Natural Medicine PA

Organization Chiropractor · NPI 1902974678

Renovare Clinic of Natural Medicine PA is a Chiropractor in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18301 N 79th Ave Ste G190
Glendale, AZ 85308
Phone: (623) 776-0206
Fax: (623) 776-0282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internist Chiropractor (primary) Taxonomy 111NI0900X · Licence 7243 (AZ)
Chiropractor Taxonomy 111N00000X · Licence 7243 (AZ)
Acupuncturist Taxonomy 171100000X · Licence 7243 (AZ)

Record details

NPI number1902974678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Gerhart — Ceo · (623) 776-0206
NPI enumeratedDecember 1, 2006
Last updated in NPPESApril 8, 2008
Mailing address18301 North 79th Ave, Suite G190, Glendale, AZ 85308

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