Organization
REGENERATION ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN O. WILSON (OFFICE MANAGER)
(636) 536-7000
Entity
Organization
Contact information
Practice address
6 MCBRIDE & SON CENTER DR., STE 204, CHESTERFIELD, MO 63005
(636) 536-7000
(636) 898-5709
Mailing address
14825 N OUTER 40 RD, STE 365, CHESTERFIELD, MO 63017-2152
(636) 536-7000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
10/10/2012
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