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Active Integrated Medicine Llc
General Practice Physician in Fort Morgan, Colorado
NPI 1174016331

Active Integrated Medicine Llc is a General Practice Physician based in Fort Morgan, CO. Active Integrated Medicine Llc practices in Fort Morgan, CO. The NPI Number for Active Integrated Medicine Llc is 1174016331 and holds a License No. (Colorado).

The current practice location address for Active Integrated Medicine Llc is 329 E Platte Ave, Fort Morgan, CO and can be reached out via phone at 970-441-1117.

Location: 329 E Platte Ave, Fort Morgan, CO, 80701-3172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174016331
Provider Name
Active Integrated Medicine Llc
Credential
Provider Entity Type
Organization
Address
329 E Platte Ave, Fort Morgan, CO, 80701-3172
Phone Number
970-441-1117
Fax Number
Provider Enumeration Date
06/12/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346781846 01 CO NPI
institution
Provider Business Practice Location Address Details
Address
329 E Platte Ave
City
Fort Morgan
State
Colorado
Zip
80701-3172
Phone Number
970-441-1117
Fax Number
person
Provider Business Mailing Address Details
Address
329 E Platte Ave
City
Fort Morgan
State
Colorado
Zip
80701-3172
Phone Number
970-441-1117
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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