Organization
HRT IA PC
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(602) 796-2559
Entity
Organization
Contact information
Practice address
800 S 50TH ST STE 101, WEST DES MOINES, IA 50265-5382
(725) 204-6055
Mailing address
800 S 50TH ST STE 101, WEST DES MOINES, IA 50265-5382
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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