Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Renovare Clinic of Natural Medicine PA

Organization Chiropractor · NPI 1902974678

Renovare Clinic of Natural Medicine PA provides Chiropractor services 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 Not confirmed with CMS for 18 years — call before visiting
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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