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Organization

RADIANT MEN'S HEALTH CLUB

Active
Other names
Radiant Mens
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN CARLISLE FNP-C (ADMINISTRATOR)
(623) 693-2198
Entity
Organization

Contact information

Practice address
5940 W UNION HILLS DR STE B100, GLENDALE, AZ 85308-1313
(480) 219-7098
Mailing address
6635 W HAPPY VALLEY RD STE A104, GLENDALE, AZ 85310-2609

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
08/21/2024
Last updated
09/29/2024
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