| NPI | 1306831250 |
|---|---|
| Doing Business As | REGENESIS PLASTIC SURGERY & SKIN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SANDY VALENTINE Credentialing Coordinator 970-245-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2024-02-13 |