# COLORADO WEST OTOLARYNGOLOGISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ReGenesis Plastic Surgery & Dermatology, ReGenesis Plastic Surgery & Skin Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306831250
- **Authorized official:** SANDY VALENTINE (CREDENTIALING)
- **Authorized official phone:** (970) 245-2400

## Contact information

- **Practice address:** 2515 FORESIGHT CIR UNIT 200, GRAND JUNCTION, CO 81505-1156
- **Practice address phone:** (970) 245-2400
- **Practice address fax:** (970) 242-9092
- **Mailing address:** 2515 FORESIGHT CIR UNIT 200, GRAND JUNCTION, CO 81505-1156
- **Mailing address phone:** (970) 245-2400
- **Mailing address fax:** (970) 242-9092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ND0101X | MOHS-Micrographic Surgery Physician | — | NULL | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 10/01/2025