Organization
EPIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON OLIVER MSPT (OWNER)
(970) 309-4604
Entity
Organization
Contact information
Practice address
616 E HYMAN AVE, C/O ASPEN SPORTS MEDICINE, ASPEN, CO 81611-2391
(970) 309-4604
Mailing address
PO BOX 10916, ASPEN, CO 81612-7353
(970) 309-4604
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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