Organization Name: | CURRENT HEALTH TESTOSTERONE CENTERS, LLC |
NPI Number: | 1679908099 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRIS WHITFIELD (AUTHORIZED OFFICIAL) |
Mailing Address: | 4560 S Campbell Ave Suite 116 Springfield |
State: | MO US |
Postal Code: | 658101720 |
Phone Number: | 4799688279 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2013 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |