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Organization
HRT IA PC
Active
Organization
HRT IA PC
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(602) 796-2559
Entity
Organization
Contact information
Practice address
800 S 50TH ST STE 101, WEST DES MOINES, IA 50265-5382
(725) 204-6055
Mailing address
800 S 50TH ST STE 101, WEST DES MOINES, IA 50265-5382
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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