Organization
AGELESS WOMENS HEALTH UT LLC
Active
Other names
Ageless Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
TEAH SMITH (CREDENTIALING MANAGER)
(901) 205-3999
Entity
Organization
Contact information
Practice address
1920 W 250 N STE 2, MARRIOTT SLATERVILLE, UT 84404-9234
(602) 582-1706
Mailing address
1920 W 250 N STE 2, MARRIOTT SLATERVILLE, UT 84404-9234
(602) 582-1706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
03/08/2024
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