| Institute For Male Health&performance Llc | |
|
1830 Mesquite Ave Ste B Lake Havasu City AZ 86403-5885 | |
| (928) 453-0777 | |
| (928) 453-0778 |
| Full Name | Institute For Male Health&performance Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1830 Mesquite Ave Ste B, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Essa Sidiqi (OWNER) |
| Authorized Official Contact | 9284530777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Male Health&performance Llc 1990 Mcculloch Blvd N # D230 Lake Havasu City AZ 86403-5749 Ph: (928) 453-0777 | Institute For Male Health&performance Llc 1830 Mesquite Ave Ste B Lake Havasu City AZ 86403-5885 Ph: (928) 453-0777 |
| NPI Number | 1609359983 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609359983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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