OrganizationActive
Active Life Physical Medicine and Pain Center, PLLC
NPI 1811130016 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Surprise, AZ
Provider details
- NPI number
- 1811130016
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Wendi Lundquist, Owner/Physician
- License
- 005097 (AZ)
Practice location
15547 N Reems Rd Bldg a
Surprise, AZ 85374-9583
Phone: (623) 535-9777
Fax: (623) 535-9778
Mailing address
15547 N Reems Rd Bldg a
Surprise, AZ 85374-9583
Registry dates
- Enumerated
- 2009-04-17
- Last updated
- 2023-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.