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
1545 E IRON EAGLE DR STE 101, EAGLE, ID 83616-7079
(208) 906-9128
Mailing address
1545 E IRON EAGLE DR STE 101, EAGLE, ID 83616-7079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
11/11/2024
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