Mens Vitality Center | |
18205 N 51st Ave Ste 129 Glendale AZ 85308-1492 | |
(623) 398-8554 | |
Not Available |
Full Name | Mens Vitality Center |
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Speciality | Clinic/center - Primary Care |
Location | 18205 N 51st Ave Ste 129, Glendale, Arizona |
Authorized Official Name and Position | Charles Benjamin Evans (OWNER) |
Authorized Official Contact | 6027919112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mens Vitality Center 5509 E Friess Dr Scottsdale AZ 85254-2966 Ph: () - | Mens Vitality Center 18205 N 51st Ave Ste 129 Glendale AZ 85308-1492 Ph: (623) 398-8554 |
NPI Number | 1336436690 |
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Provider Enumeration Date | 07/06/2011 |
Last Update Date | 07/06/2011 |
Identifier | Type | State | Issuer |
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1336436690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 37616 (Arizona) | Primary |
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