MEDICARE: REGIS UNIVERSITY

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
1	261QS1000X	Student Health Clinic/Center

General Provider Information

NPI Number	:	1225114705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIS UNIVERSITY

Provider Business Mailing Address
First Line	:	3333 REGIS BLVD # F-12
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-1154
Country	:	US
Telephone Number	:	303-458-3558
Fax Number	:	303-965-5406

Provider Business Practice Location Address
First Line	:	3333 REGIS BLVD # F-12
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-1154
Country	:	US
Telephone Number	:	303-458-3558
Fax Number	:	303-965-5406

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	FLORA RIVERA
Credential	:
Telephone Number	:	303-458-4294

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	03/18/2024

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1952509226 — PROF. MARCIA B SMITH PHD, PT
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1982938304 — DR. ANDREW CRAIG SMITH PT, DPT, PHD
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Directions to “REGIS UNIVERSITY ” Practice Location

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