NPI | 1386923597 |
---|---|
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 | 363A00000X Physician Assistant |
Enumeration Date | 2011-08-05 |
Last Update Date | 2024-11-20 |