NPI | 1134798184 |
---|---|
Doing Business As | AGELESS MEN'S HEALTH |
Entity Type | Organization |
Authorized Contact | AMANDA WILKINSON Business Operations Director 602-796-2559 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2021-06-23 |
Last Update Date | 2025-03-25 |