Organization
ELITE PERFORMANCE HEALTH CENTER, PC
Active
Organization
ELITE PERFORMANCE HEALTH CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DAVID SMITH DC (PHYSICIAN/OWNER)
(801) 302-0280
Entity
Organization
Contact information
Practice address
3630 W SOUTH JORDAN PARKWAY, SUITE 102, SOUTH JORDAN, UT 84095-7153
(801) 302-0280
(801) 303-5040
Mailing address
3630 W SOUTH JORDAN PARKWAY, SUITE 102, SOUTH JORDAN, UT 84095-7153
(801) 302-0280
(801) 303-5040
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
5188785-1202
UT
111NS0005X
Sports Physician Chiropractor
Primary
—
UT
Other
Enumeration date
02/18/2009
Last updated
09/09/2009
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