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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