Organization
REGENERATIVE HEALTH AND WELLNESS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB HOLDREN DC (OWNER)
(719) 537-0200
Entity
Organization
Contact information
Practice address
209 S MAIN STREET, HOLLY, CO 81047-0304
(719) 537-0200
Mailing address
209 S. MAIN STREET, HOLLY, CO 81047-0304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
03/08/2016
Last updated
01/23/2020
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