| Regenesis Wellness Center | |
|
2310 Vickers Dr Colorado Springs CO 80918-1981 | |
| (719) 428-5310 | |
| (720) 504-0186 |
| Full Name | Regenesis Wellness Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2310 Vickers Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Anna Maria Douglas (OWNER) |
| Authorized Official Contact | 7194285310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenesis Wellness Center 2310 Vickers Dr Colorado Springs CO 80918-1981 Ph: (719) 428-5310 | Regenesis Wellness Center 2310 Vickers Dr Colorado Springs CO 80918-1981 Ph: (719) 428-5310 |
| NPI Number | 1144693292 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144693292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 0990332-NP (Colorado) | Secondary |
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