HomeNPI Verification
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
1659610145Data 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