Advanced Integrative Medicine
Organization Active NPI Medical Physician Assistant · Lone Tree, CO
NPI 1457779886 · NPPES record last updated Apr 2, 2014
Key facts
- NPI
- 1457779886
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 1285 (CO)
- Legal business name
- ADVANCED INTEGRATIVE MEDICINE
- Practice address
- 10455 Park Meadows Dr
Ste 102
Lone Tree, CO 80124-5599 - Phone
- (303) 708-0246
- NPI assigned
- Apr 2, 2014
- Organization subpart
- No
Authorized official
- Name
- Randall Snook, M.D.
- Title
- Ceo/Medical Director
- Phone
- (303) 708-0246
Corporate family (same tax ID) 1
Practitioners 1
-
Randall Snook, M.D.
National Provider Directory
- Tax ID family
- Advanced Integrative Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant |
363AM0700X | 1285 | CO | Yes |
Addresses
Primary practice location
10455 Park Meadows Dr
Ste 102
Lone Tree, CO 80124-5599
Mailing address
10455 Park Meadows Dr
Ste 102
Lone Tree, CO 80124-5599
Phone (303) 708-0246
Other providers in Lone Tree, CO
- Action Behavior Centers, LLC
- Reagan Dzierwa Adair
- Nicole Bleakley Adams
- Adapthealth West, LLC
- Adient Health, Inc
- Advanced Integrative Medicine PC
- Advanced Integrative Medicine, PC
- Advanced Mental Health Counseling Services
- Advanced Neurology of Colorado, LLC
- Advanced Surgery Colorado PLLC
All providers in Lone Tree, CO · Medical Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.