# REGENERATION ORTHOPEDICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649524711
- **Authorized official:** KAREN WILSON (OFFICE MANAGER)
- **Authorized official phone:** (636) 536-7000

## Contact information

- **Practice address:** 3986 MARYVILLE RD, GRANITE CITY, IL 62040-4191
- **Practice address phone:** (636) 536-7000
- **Practice address fax:** (636) 898-5709
- **Mailing address:** 6 MCBRIDE AND SON CENTER DR, STE 204, CHESTERFIELD, MO 63005-1418
- **Mailing address phone:** (636) 536-7000
- **Mailing address fax:** (636) 898-5709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 10/29/2012