| Divine Physics Holistic Lifestyles & Regeneration, Inc. | |
|
6500 S Quebec St Ste 200 Centennial CO 80111-4673 | |
| (303) 221-0106 | |
| (303) 221-0107 |
| Full Name | Divine Physics Holistic Lifestyles & Regeneration, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 6500 S Quebec St Ste 200, Centennial, Colorado |
| Authorized Official Name and Position | Lin Merage (PRESIDENT) |
| Authorized Official Contact | 3032210106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Physics Holistic Lifestyles & Regeneration, Inc. 6500 S Quebec St Ste 200 Centennial CO 80111-4673 Ph: (303) 221-0106 | Divine Physics Holistic Lifestyles & Regeneration, Inc. 6500 S Quebec St Ste 200 Centennial CO 80111-4673 Ph: (303) 221-0106 |
| NPI Number | 1346432358 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346432358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20041202740 (Colorado) | Primary |
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