HomeNPI Verification

NPI Verification

National Provider Identifier: 1932704830

Ageless Nutrition Bar Holdings, INC

Organization

Primary Specialty

Family Medicine, Adult Medicine

Code: 207QA0505X

All Specialties (2)

Clinic/Center, Primary Care

Code: 261QP2300X

Family Medicine, Adult Medicine

Code: 207QA0505X

Primary

Practice Address

4802 E RAY RD # 9

PHOENIX, AZ 850446405

Phone: 901-757-3643

NPI Enumeration Date

December 1, 2020

NPI Number

1932704830

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