# AGELESS MEN'S HEALTH HOLDINGS, INC

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

## Provider details

- **NPI number:** 1376257386
- **Authorized official:** AMANDA WILKINSON (BUSINESS OPERATIONS MANAGER)
- **Authorized official phone:** (702) 818-0446

## Contact information

- **Practice address:** 1920 W 250 N STE 1, MARRIOTT SLATERVILLE, UT 84404-9234
- **Practice address phone:** (801) 878-7411
- **Mailing address:** 1920 W 250 N STE 1, MARRIOTT SLATERVILLE, UT 84404-9234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2023
- **Last updated:** 11/20/2024