| Active Lifestyle Medical Pc | |
|
9449 N 90th St Ste 114 Scottsdale AZ 85258-5099 | |
| (480) 860-0300 | |
| (480) 422-4321 |
| Full Name | Active Lifestyle Medical Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 9449 N 90th St, Scottsdale, Arizona |
| Authorized Official Name and Position | Thomas L Tinlin (PRESIDENT SENIOR CLINICIAN) |
| Authorized Official Contact | 4808600300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Lifestyle Medical Pc 9449 N 90th St Ste 114 Scottsdale AZ 85258-5099 Ph: (480) 860-0300 | Active Lifestyle Medical Pc 9449 N 90th St Ste 114 Scottsdale AZ 85258-5099 Ph: (480) 860-0300 |
| NPI Number | 1013970334 |
|---|---|
| Provider Enumeration Date | 04/08/2006 |
| Last Update Date | 02/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013970334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 000000000928481 (Arizona) | Primary |
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