Organization
AGELESS MEN'S HEALTH NV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATIE LYNN (BUSINESS MANAGER)
(702) 252-8378
Entity
Organization
Contact information
Practice address
2821 W HORIZON RIDGE PKWY, 111, HENDERSON, NV 89052-4427
(702) 252-8378
(702) 242-0098
Mailing address
2821 W HORIZON RIDGE PKWY, 111, HENDERSON, NV 89052-4427
(702) 252-8378
(702) 242-0098
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4498
NV
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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