NPI 1265603104 · live from the CMS NPI Registry
Advanced Integrative Medicine PC
Internal Medicine in Lone Tree, CO. National Provider Identifier 1265603104, active.
NPI record
| NPI | 1265603104 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 10455 Park Meadows Dr, Building 1 Suite 1, Lone Tree, CO 80124 |
| Practice phone | 303-708-0246 |
| Enumerated | March 19, 2008 |
| Last updated | May 19, 2009 |
| Authorized official | Randall Snook, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 27722 (CO) |
| Family Medicine | 207Q00000X | 37225 (CO) |
| Internal Medicine primary | 207R00000X | 34633 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.