NPI | 1114448644 |
---|---|
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 | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2017-07-06 |
Last Update Date | 2024-11-11 |