IDENTITY HORMONES LLC is an adult medicine family medicine in Phoenix, AZ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. IDENTITY HORMONES LLC NPI is 1326642372. The provider is registered as an organization entity type.
The provider Is Doing Business As Identity Hormones Llc.
The provider's business location address is:
100 E CAMELBACK RD STE 108
PHOENIX, AZ
ZIP 85012-061
Phone: (901) 757-3643
The provider's authorized official is Teah Michelle Smith .
The authorized official title is Credentialing Manager and has the following contact phone number (901) 205-3999.
The enumeration date for this NPI number is 11/30/2020 and was last updated on 11/13/2023.