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Contact Information

ADVANCED INTEGRATIVE MEDICINE
10455 PARK MEADOWS DR
STE 102
LONE TREE, CO80124-5599
 Phone: 303-708-0246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ADVANCED INTEGRATIVE MEDICINE

NPI Number 1457779886
LBN Legal business name ADVANCED INTEGRATIVE MEDICINE
Authorized official RANDALL SNOOK - (CEO/MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2014
Last updated 04/02/2014 - About 12 years ago
Identifiers
CO License # 1285
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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