Organization
AGELESS MEN'S HEALTH NV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(602) 796-2559
Entity
Organization
Contact information
Practice address
2911 N TENAYA WAY, 105, LAS VEGAS, NV 89128-0464
(702) 252-8378
(702) 242-0098
Mailing address
2911 N TENAYA WAY STE 105, LAS VEGAS, NV 89128-0488
(702) 252-8378
(702) 242-0098
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4498
NV
Other
Enumeration date
02/16/2010
Last updated
09/09/2025
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