ADVANCED INTEGRATIVE MEDICINE NPI 1457779886

NPI Information

NPI: 1457779886
Provider Name: ADVANCED INTEGRATIVE MEDICINE
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
10455 PARK MEADOWS DR
STE 102
LONE TREE, CO
ZIP 80124
Phone: (303) 708-0246
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ADVANCED INTEGRATIVE MEDICINE is a medical physician assistant in Lone Tree, CO. ADVANCED INTEGRATIVE MEDICINE NPI is 1457779886. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10455 PARK MEADOWS DR
STE 102
LONE TREE, CO
ZIP 80124-599
Phone: (303) 708-0246

The provider's authorized official is Randall Snook .
The authorized official title is Ceo/medical Director and has the following contact phone number (303) 708-0246.

The enumeration date for this NPI number is 4/2/2014 and was last updated on 4/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1285	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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