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Organization
REGENERATION ORTHOPEDICS, LLC
Active
Organization
REGENERATION ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN WILSON (OFFICE MANAGER)
(636) 536-7000
Entity
Organization
Contact information
Practice address
3986 MARYVILLE RD, GRANITE CITY, IL 62040-4191
(636) 536-7000
(636) 898-5709
Mailing address
6 MCBRIDE AND SON CENTER DR, STE 204, CHESTERFIELD, MO 63005-1418
(636) 536-7000
(636) 898-5709
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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