| Performance Sports Medical Center Llc | |
|
6535 S Dayton St Ste 3100 Greenwood Village CO 80111-6134 | |
| (303) 335-9140 | |
| Not Available |
| Full Name | Performance Sports Medical Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 6535 S Dayton St Ste 3100, Greenwood Village, Colorado |
| Authorized Official Name and Position | Nathanael Williams (EMPLOYEE) |
| Authorized Official Contact | 3033359140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Sports Medical Center Llc 6535 S Dayton St Ste 3100 Greenwood Village CO 80111-6134 Ph: (303) 335-9140 | Performance Sports Medical Center Llc 6535 S Dayton St Ste 3100 Greenwood Village CO 80111-6134 Ph: (303) 335-9140 |
| NPI Number | 1073158655 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073158655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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