Smart Sports Medicine LLC

NPI #1114408739 in Cheyenne, Wyoming

Provider Information

NPI Number
1114408739
Entity Type
Organization
Organization Name
Smart Sports Medicine LLC
Primary Specialty
Physical Medicine & Rehabilitation - Sports Medicine
Enumeration Date
Aug 22, 2018
Last Updated
Aug 22, 2018

Practice Location

Address
5307 YELLOWSTONE RD
State
Wyoming
ZIP Code
82009-4736
Phone
(307) 632-7677

Authorized Official

Name
DR. VINCENT J. ROSS, MD
Title
PRESIDENT
Phone
(307) 632-7677

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Sports MedicineSports Medicine

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