Healthcare Provider Details

I. General information

NPI: 1073455465
Provider Name (Legal Business Name): RESTORATION SPINE & JOINT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9777 S YOSEMITE ST STE 200
LONE TREE CO
80124-3115
US

IV. Provider business mailing address

9777 S YOSEMITE ST STE 200
LONE TREE CO
80124-3115
US

V. Phone/Fax

Practice location:
  • Phone: 972-596-1059
  • Fax: 972-612-5410
Mailing address:
  • Phone: 972-596-1059
  • Fax: 972-612-5410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MERIWETHER LEWIS FRAZIER JR.
Title or Position: OWNER
Credential: MD
Phone: 972-596-1059