OrganizationActive
Advanced Integrative Medicine
NPI 1457779886 · Medical Physician Assistant · Lone Tree, CO
Provider details
- NPI number
- 1457779886
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Randall Snook, Ceo/Medical Director
- License
- 1285 (CO)
Practice location
10455 Park Meadows Dr
Ste 102
Lone Tree, CO 80124-5599
Phone: (303) 708-0246
Mailing address
10455 Park Meadows Dr
Lone Tree, CO 80124-5599
Registry dates
- Enumerated
- 2014-04-02
- Last updated
- 2014-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.