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NPI Verification

National Provider Identifier: 1659610145

Ageless Secret

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

7425 E SHEA BLVD

SUITE 103

SCOTTSDALE, AZ 852606411

Phone: 480-948-3250

NPI Enumeration Date

February 5, 2013

NPI Number

1659610145

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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