| NPI | 1760929590 |
|---|---|
| Doing Business As | METAMORPHOSIS CENTER FOR REGENERATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | VICTORIA KING Cmo 719-371-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2020-03-06 |