| Ageless Center Llc | |
|
201 Pennsylvania Pkwy Ste 201 Indianapolis IN 46280-1393 | |
| (317) 528-9119 | |
| Not Available |
| Full Name | Ageless Center Llc |
|---|---|
| Speciality | Preventive Medicine - Obesity Medicine |
| Location | 201 Pennsylvania Pkwy Ste 201, Indianapolis, Indiana |
| Authorized Official Name and Position | Wyatt Horsley (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3175289119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Center Llc 201 Pennsylvania Pkwy Ste 201 Indianapolis IN 46280-1393 Ph: (317) 528-9119 | Ageless Center Llc 201 Pennsylvania Pkwy Ste 201 Indianapolis IN 46280-1393 Ph: (317) 528-9119 |
| NPI Number | 1023523750 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 12/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023523750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | 01076865A (Indiana) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | 01076865A (Indiana) | Primary |
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