Active Lifestyle Medical PC
NPI #1013970334 in Scottsdale, Arizona
Provider Information
- NPI Number
- 1013970334
- Entity Type
- Organization
- Organization Name
- Active Lifestyle Medical PC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 8, 2006
- Last Updated
- Feb 8, 2015
Practice Location
- Address
- 9449 N 90TH ST
- Address 2
- STE 114
- City
- Scottsdale
- State
- Arizona
- ZIP Code
- 85258-5099
- Phone
- (480) 860-0300
Authorized Official
- Name
- THOMAS L TINLIN, DC
- Title
- PRESIDENT SENIOR CLINICIAN
- Phone
- (480) 860-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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