Total Orthopedics, LLC
Family Medicine in Phoenix, AZ. Organization (NPI-2).
NPI number1174239727
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1174239727
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Orthopedics, LLC
- Organization subpart
- No
- Enumeration date
- Jan 26, 2023
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Ageless Men'S Health (Doing Business As)
Practice location
22601 N 19th Ave Ste 112Phoenix, AZ 85027-1324
Phone 602-293-3277
Mailing address
22601 N 19th Ave Ste 112Phoenix, AZ 85027-1324
Authorized official
Amanda Wilkinson
Business Operations Director
7028180446
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