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AGELESS MEN'S HEALTH
NPI 1932704830
Family Medicine - Adult Medicine in Phoenix, AZ

Active since December 01, 2020
4802 E RAY RD # 9, PHOENIX, AZ 85044(901) 757-3643 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Mar 20, 2023, Dec 1, 2020 (3 updates tracked since 2020).

About Ageless Men's Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGELESS MEN'S HEALTH (NPI 1932704830) is a healthcare organization registered as an adult medicine in Phoenix, Arizona and active in the NPI registry since December 2020. The organization lists Teah Michelle Smith, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1932704830
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameAGELESS NUTRITION BAR HOLDINGS, INC
Location Address4802 E RAY RD # 9Phoenix, AZ 85044-6405
Mailing Address4802 E Ray Rd # 9Phoenix, AZ 85044-6405
Phone(901) 757-3643
Organization SubpartNo
Authorized OfficialTeah Michelle SmithCredentialing Manager · (901) 205-3999
Enumeration DateDecember 1, 2020
Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1932704830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
4802 E RAY RD # 9, Phoenix, AZ 85044
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Other Names 1

Doing Business AsAgeless Men's Health

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ageless Nutrition Bar Holdings, Inc's NPI number?

The NPI number for Ageless Nutrition Bar Holdings, Inc is 1932704830. It was assigned to this organization in the NPPES registry on December 1, 2020. The provider is doing business as Ageless Men's Health.

Where is Ageless Nutrition Bar Holdings, Inc located?

Ageless Nutrition Bar Holdings, Inc is located at 4802 E Ray Rd # 9, Phoenix, AZ 85044. The listed phone number is (901) 757-3643.

What is Ageless Nutrition Bar Holdings, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Ageless Nutrition Bar Holdings, Inc was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.