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Organization
AMH SERIES II NV, LLC
Active
Organization
AMH SERIES II NV, LLC
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
TEAH MICHELLE SMITH (CREDENTIALING MANAGER)
(901) 205-3999
Entity
Organization
Contact information
Practice address
630 SIERRA ROSE DR., SUITE A1, RENO, NV 89511
(901) 757-3643
Mailing address
630 SIERRA ROSE DR., SUITE A1, RENO, NV 89511
(901) 757-3643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
Other
Enumeration date
11/17/2020
Last updated
11/13/2023
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