| Ageless Men's Health | |
|
4701 N 24th St Ste A1 Phoenix AZ 85016-9145 | |
| (901) 757-3643 | |
| Not Available |
| Full Name | Ageless Men's Health |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4701 N 24th St Ste A1, Phoenix, Arizona |
| Authorized Official Name and Position | Teah Michelle Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9012053999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Men's Health 4701 N 24th St Ste 3a Phoenix AZ 85016-4851 Ph: (901) 757-3643 | Ageless Men's Health 4701 N 24th St Ste A1 Phoenix AZ 85016-9145 Ph: (901) 757-3643 |
| NPI Number | 1679196372 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679196372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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