Advanced Integrative Medicine, Pc

NPI 1003008897 - Internal Medicine - 207R00000X

NPI Details
NPI 1003008897
Enumeration Date 08/15/2007
Last Updated 03/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RANDALL L RANDALL
Position PHYSICIAN/OWNER
Phone (303) 708-0246
Fax (303) 708-0247
Practice Location
10455 PARK MEADOWS DR
SUITE 102
LONE TREE CO, 80124-5414, US
Phone (303) 708-0246
Fax (303) 708-0247
Business Location
10455 PARK MEADOWS DR
SUITE 102
LONE TREE CO, 80124-5414, US
Phone (303) 708-0246
Fax (303) 708-0247
Toxanomy
Taxonomy Code 207R00000X
License State Colorado
License Number 34633
Remove 1003008897 NPI Number
 

According to our database, Advanced Integrative Medicine, Pc NPI is 1003008897, taxonomy code is 207R00000X and license number is 34633, license state is located at Colorado. Advanced Integrative Medicine, Pc physically located at 10455 Park Meadows Dr, Lone Tree CO, 80124-5414. NPI Number 1033115704 has the healthcare provider type.

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1003008897 NPI number is provided on an as is basis without warranty of any kind. 1003008897 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Integrative Medicine, Pc are for informational purposes only.