OrganizationActive
Joint Regenerative LLC
NPI 1417420126 · Sports Medicine (Orthopaedic Surgery) Physician · Phoenix, AZ
Provider details
- NPI number
- 1417420126
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Lucinda Ricci, Administrator
Practice location
4340 E Indian School Rd Ste 21-536
Phoenix, AZ 85018-5360
Phone: (602) 429-0404
Fax: (480) 603-3244
Mailing address
4340 E Indian School Rd Ste 21-536
Phoenix, AZ 85018-5360
Registry dates
- Enumerated
- 2019-01-04
- Last updated
- 2019-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.