Organization
COLORADO WEST OTOLARYNGOLOGISTS PC
Active
Other names
ReGenesis Plastic Surgery & Dermatology, ReGenesis Plastic Surgery & Skin Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY VALENTINE (CREDENTIALING)
(970) 245-2400
Entity
Organization
Contact information
Practice address
2515 FORESIGHT CIR UNIT 200, GRAND JUNCTION, CO 81505-1156
(970) 245-2400
(970) 242-9092
Mailing address
2515 FORESIGHT CIR UNIT 200, GRAND JUNCTION, CO 81505-1156
(970) 245-2400
(970) 242-9092
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
231H00000X
Audiologist
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04007308
—
CO
Enumeration date
09/16/2005
Last updated
10/01/2025
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