| Ageless Men's Health | |
|
1545 E Iron Eagle Dr Ste 101 Eagle ID 83616-7079 | |
| (208) 906-9128 | |
| Not Available |
| Full Name | Ageless Men's Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1545 E Iron Eagle Dr Ste 101, Eagle, Idaho |
| Authorized Official Name and Position | Teah Michelle Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9012053999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Men's Health 1545 E Iron Eagle Dr Ste 101 Eagle ID 83616-7079 Ph: () - | Ageless Men's Health 1545 E Iron Eagle Dr Ste 101 Eagle ID 83616-7079 Ph: (208) 906-9128 |
| NPI Number | 1649925389 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649925389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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