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Organization
AMPLIFIED PERFORMANCE LLC
Active
Organization
AMPLIFIED PERFORMANCE LLC
Active
Other names
Evergreen Spine and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ROBERT SMITH D.C. (CHIROPRACTOR/OWNER)
(303) 670-8902
Entity
Organization
Contact information
Practice address
1262 BERGEN PKWY, E14, EVERGREEN, CO 80439-9546
(303) 670-8902
(303) 670-3580
Mailing address
1262 BERGEN PKWY, E14, EVERGREEN, CO 80439-9546
(303) 670-8902
(303) 670-3580
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6847
CO
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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