# HRT IA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ageless Men's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104639962
- **Authorized official:** AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
- **Authorized official phone:** (602) 796-2559

## Contact information

- **Practice address:** 800 S 50TH ST STE 101, WEST DES MOINES, IA 50265-5382
- **Practice address phone:** (725) 204-6055
- **Mailing address:** 800 S 50TH ST STE 101, WEST DES MOINES, IA 50265-5382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2025
- **Last updated:** 01/27/2025