Organization
TOTAL ORTHOPEDICS,LLC
Active
Other names
Ageless Men's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization
Contact information
Practice address
18001 N 79TH AVE, SUITE D-69, GLENDALE, AZ 85308-8388
(483) 443-0384
Mailing address
18001 N 79TH AVE, SUITE D-69, GLENDALE, AZ 85308-8388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
291U00000X
Clinical Medical Laboratory
44D1072470
TN
Other
Enumeration date
07/03/2012
Last updated
11/11/2024
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