NPI | 1063055614 |
---|---|
Doing Business As | AGELESS MEN'S HEALTH |
Entity Type | Organization |
Authorized Contact | AMANDA WILKINSON Business Operations Director 702-818-0446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-10-25 |
Last Update Date | 2024-11-11 |