Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Research |
261QR1100X |
| NPI # | 1073103644 |
| LBN Legal business name | ACTIVMED PRACTICES & RESEARCH, LLC |
| Authorized official | TERRY STUBBS - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/19/2021 |
| Last updated | 01/19/2021 - About 5 years ago |
| Identifiers | n/a |
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