| NPI | 1306831250 |
|---|---|
| Doing Business As | REGENESIS PLASTIC SURGERY & SKIN CARE CENTER |
| Doing Business As | REGENESIS PLASTIC SURGERY & DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SANDY VALENTINE Credentialing 970-245-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 208200000X Plastic Surgery | |
| 231H00000X Audiologist | |
| 363LF0000X Nurse Practitioner, Family | |
| 207Y00000X Otolaryngology | |
| 363A00000X Physician Assistant | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2025-10-01 |