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NPI Code Detail

MEDICARE: DENVER REGENERATIVE HEALTH INSTITUTE PC

MEDICARE: DENVER REGENERATIVE HEALTH INSTITUTE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1053925396
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENVER REGENERATIVE HEALTH INSTITUTE PC
Provider Business Mailing Address
First Line : 6825 S GALENA ST STE 200
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-3630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6825 S GALENA ST STE 200
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-3630
Country : US
Telephone Number : 303-741-0990
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TAMARA R JOHNSON
Credential :
Telephone Number : 308-534-6029
Provider Enumeration Date : 09/03/2020
Last Update Date : 09/03/2020

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Directions to “DENVER REGENERATIVE HEALTH INSTITUTE PC ” Practice Location

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