Evergreen Spine and Sports Medicine LLC

NPI #1427486539 in Evergreen, Colorado

Provider Information

NPI Number: 1427486539
Entity Type: Organization
Organization Name: Evergreen Spine and Sports Medicine LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 29, 2013
Last Updated: Feb 10, 2023

Practice Location

Address: 3042 EVERGREEN PKWY STE 100
City: Evergreen
State: Colorado
ZIP Code: 80439-7992
Phone: (303) 670-8902

Authorized Official

Name: DR. MAYA MARIE GONZALES, DC
Title: OWNER
Phone: (303) 670-8902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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