OrganizationActive
Center for Regenerative Medicine LLC
NPI 1760929590 · Ambulatory Surgical Clinic/Center · Canon City, CO
Provider details
- NPI number
- 1760929590
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Victoria King, Cmo(719) 371-0000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
113 Latigo Ln Ste E
Canon City, CO 81212-8114
Phone: (719) 371-0000
Fax: (888) 965-6893
Approximate (ZIP-level) locationGet directions
Mailing address
113 Latigo Ln
Canon City, CO 81212-8114
Other names (DBA / former)
- Doing business as
- Metamorphosis Center for Regenerative Medicine
- Doing business as
- Metamorphosis Center for Regenerative Medicine
Registry dates
- Enumerated
- 2017-01-31
- Last updated
- 2020-03-06
- Certified
- 2020-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.