Organization
ACTIVE INTEGRATED MEDICINE LLC
Active
Other names
Active Integrated Medicine, Proactive Medicine LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LEIF ALLEN STEPHENS DC (OWNER)
(970) 458-5216
Entity
Organization
Contact information
Practice address
220 E BEAVER AVE, FORT MORGAN, CO 80701-3103
(970) 441-1117
Mailing address
220 E BEAVER AVE, FORT MORGAN, CO 80701-3103
(970) 441-1117
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679771414
NPI
CO
05
—
1679771414
—
CO
Enumeration date
06/12/2018
Last updated
03/30/2026
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