| Mens Vitality Center | |
|
18205 N 51st Ave Ste 129 Glendale AZ 85308-1492 | |
| (623) 398-8554 | |
| Not Available |
| Full Name | Mens Vitality Center |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336436690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 37616 (Arizona) | Primary |
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