# AMH SERIES II ID, LLC

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

## Provider details

- **NPI number:** 1457983462
- **Authorized official:** AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
- **Authorized official phone:** (702) 818-0446

## Contact information

- **Practice address:** 3875 E OVERLAND RD STE 1E, MERIDIAN, ID 83642-9005
- **Practice address phone:** (901) 757-5783
- **Mailing address:** 3875 E OVERLAND RD STE 105, MERIDIAN, ID 83642-9047
- **Mailing address phone:** (208) 268-5592

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2020
- **Last updated:** 11/11/2024