NPI | 1720631070 |
---|---|
Doing Business As | RENO REGENERATIVE MEDICINE |
Entity Type | Organization |
Authorized Contact | LLOYD DECKER Owner 970-880-0064 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2019-07-16 |
Last Update Date | 2023-09-06 |