| NPI | 1508675612 |
|---|---|
| Doing Business As | PRESTIGE HORMONE HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WAGNER CARLYLE Authorized Official 479-498-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-27 |