ACTIVE LIFE LLC

General Practice

Active Organization
NPI: 1922577659

Practice Address

2804 FORUM BLVD STE 1A
Columbia, MO 65203

Phone: (573) 999-7805

Specialties

Specialty Code Primary License
General Practice 208D00000X Yes -

Frequently Asked Questions

NPI 1922577659 is the National Provider Identifier for ACTIVE LIFE LLC, a General Practice provider located in Columbia, MO. This NPI was enumerated on November 26, 2018.

Quick Facts

NPI
1922577659
Type
Organization
Enumerated
Nov 26, 2018
Last Updated
Jun 19, 2025

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