NPI | 1689823726 |
---|---|
Doing Business As | AGELESS MEN'S HEALTH |
Entity Type | Organization |
Authorized Contact | TEAH MICHELLE PHILLIPS Credentialing Manager 901-205-3999 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: AZ 1031582) |
Enumeration Date | 2008-09-12 |
Last Update Date | 2023-09-27 |