| NPI | 1609359983 |
|---|---|
| Doing Business As | INSTITUTE FOR MALE HEALTH&PERFORMANCE LLC |
| Entity Type | Organization |
| Authorized Contact | ESSA SIDIQI Owner 928-453-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |