METAMORPHOSIS CENTER FOR REGENERATIVE MEDICINE
NPI 1760929590
Clinic/Center - Ambulatory Surgical in Canon City, CO
Active since January 31, 2017
About Metamorphosis Center For Regenerative Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METAMORPHOSIS CENTER FOR REGENERATIVE MEDICINE (NPI 1760929590) is a healthcare organization registered as an ambulatory surgical in Canon City, Colorado and active in the NPI registry since January 2017. The organization lists Victoria King, Cmo, as its authorized official.
NPPES Registry Identity
NPI1760929590
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTER FOR REGENERATIVE MEDICINE LLC
Location Address113 LATIGO LN STE ECanon City, CO 81212-8114
Mailing Address113 Latigo LnCanon City, CO 81212-8114 · (719) 371-0000 · Fax (888) 965-6893
Phone(719) 371-0000
Fax(888) 965-6893
Organization SubpartNo
Authorized OfficialVictoria KingCmo · (719) 371-0000
Enumeration DateJanuary 31, 2017
Last NPPES UpdateMarch 6, 20202 updates tracked since enumeration
NPPES CertifiedMarch 6, 2020
✔ NPI 1760929590 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
113 LATIGO LN STE E, Canon City, CO 81212
Other Names 1
Doing Business AsMetamorphosis Center For Regenerative Medicine
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760929590, enumerated as an "organization" on January 31, 2017.
The provider is located at 113 LATIGO LN STE E CANON CITY, CO 81212 and the phone number is (719) 371-0000.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
