Organization
AMH SERIES II ID, 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
3875 E OVERLAND RD STE 1E, MERIDIAN, ID 83642-9005
(901) 757-5783
Mailing address
3875 E OVERLAND RD STE 105, MERIDIAN, ID 83642-9047
(208) 268-5592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
11/11/2024
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