Organization
PERFORMANCE SPORTS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANAEL WILLIAMS (EMPLOYEE)
(303) 335-9140
Entity
Organization
Contact information
Practice address
6535 S DAYTON ST STE 3100, GREENWOOD VILLAGE, CO 80111-6134
(303) 335-9140
Mailing address
6535 S DAYTON ST STE 3100, GREENWOOD VILLAGE, CO 80111-6134
(303) 335-9140
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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