| NPI | 1174016331 |
|---|---|
| Doing Business As | ACTIVE INTEGRATED MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LEIF STEPHENS Administrator 970-458-5216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-02-23 |