Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Research |
261QR1100X |
| NPI Number | 1457624041 |
| LBN Legal business name | ACTIVMED PRACTICES & RESEARCH, INC. |
| Authorized official | TERRY STUBBS - (MA, CCRC, CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/14/2012 |
| Last updated | 11/04/2013 - About 13 years ago |
| Identifiers | n/a |
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