Healthcare Provider Details

I. General information

NPI: 1225114705
Provider Name (Legal Business Name): REGIS UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 REGIS BLVD # F-12
DENVER CO
80221-1154
US

IV. Provider business mailing address

3333 REGIS BLVD # F-12
DENVER CO
80221-1154
US

V. Phone/Fax

Practice location:
  • Phone: 303-458-3558
  • Fax: 303-965-5406
Mailing address:
  • Phone: 303-458-3558
  • Fax: 303-965-5406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FLORA RIVERA
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 303-458-4294