Organization
CENTER FOR REGENERATIVE MEDICINE LLC
Active
Other names
Metamorphosis Center for Regenerative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA KING MD (CMO)
(719) 371-0000
Entity
Organization
Contact information
Practice address
113 LATIGO LN STE E, CANON CITY, CO 81212-8114
(719) 371-0000
(888) 965-6893
Mailing address
113 LATIGO LN, CANON CITY, CO 81212-8114
(719) 371-0000
(888) 965-6893
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
03/06/2020
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