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Organization
SOUTH DENVER REGEN INC
Active
Organization
SOUTH DENVER REGEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JOHONNESSON (PRESIDENT)
(303) 738-0390
Entity
Organization
Contact information
Practice address
8765 E ORCHARD RD STE 702, GREENWOOD VILLAGE, CO 80111-5009
(303) 738-0390
(866) 238-2721
Mailing address
8765 E ORCHARD RD STE 702, GREENWOOD VILLAGE, CO 80111-5009
(303) 738-0390
(866) 238-2721
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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