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Identity Hormones Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
IDENTITY HORMONES LLC13266423722021-07-12

The organization Identity Hormones Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1326642372. Registration indicates Identity Hormones Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Primary Care, ) (Primary Care/Family Planning/APRN/PA, ) (Clinic/Center Primary Care, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationIDENTITY HORMONES LLC
Other Provider OrganizationIDENTITY HORMONES LLC
Practice Office Address100 E CAMELBACK RD STE 108
PHOENIX, AZ US
Practice Office Telephone9017573643
Mailing Address100 E CAMELBACK RD STE 108
PHOENIX, AZ 850121061 US
Authorized OfficialMELISSA CHAMBERS, VP BUSINESS OPE
6023543925
HPT Codes
CodePractice
License No
State
261QP2300X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Primary Care

Primary Care/Family Planning/APRN/PA

Clinic/Center Primary Care
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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