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AGELESS LIVING INSTITUTE LLC

Organization (NPI-2) Active

Physician Assistant, Medical

Provider Information

NPI Number
1770160269
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1670 WILLOW CREEK RD STE A, PRESCOTT, AZ, 863011112
Phone
(928) 255-5191
Fax
(928) 316-9703

Specialties & Taxonomies

Internal Medicine
Neurological Surgery
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation, Pain Medicine
Physician Assistant
Physician Assistant, Surgical
Physician Assistant, Medical Primary

All Addresses

LOCATION

1670 WILLOW CREEK RD STE A

PRESCOTT, AZ, 863011112

(928) 255-5191

MAILING

1670 WILLOW CREEK RD STE A

PRESCOTT, AZ, 863011112

(928) 255-5191