NPI | 1033565098 |
---|---|
Doing Business As | LIMITLESS MALE MEDICAL |
Entity Type | Organization |
Authorized Contact | KRISTIE L BUTTS Credentialing 028-174-8104 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2016-05-09 |
Last Update Date | 2019-07-19 |