| NPI | 1710487939 |
|---|---|
| Doing Business As | IMED REGENERATION CENTER |
| Entity Type | Organization |
| Authorized Contact | SABRINA KELLER Authorized Official 719-593-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-04-06 |