| Men's Vitality Center | |
|
10320 W Mcdowell Rd Ste E5015 Avondale AZ 85392-4869 | |
| (602) 791-9112 | |
| Not Available |
| Full Name | Men's Vitality Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 10320 W Mcdowell Rd Ste E5015, Avondale, Arizona |
| Authorized Official Name and Position | Charles Benjamin Evans (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6027919112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Men's Vitality Center 111 E Dunlap Ave Ste 1-193 Phoenix AZ 85020-7812 Ph: () - | Men's Vitality Center 10320 W Mcdowell Rd Ste E5015 Avondale AZ 85392-4869 Ph: (602) 791-9112 |
| NPI Number | 1194212977 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194212977 | NPI | - | NPPES |
| 37616 | Other | AZ | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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