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A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI Number | 1962672204 |
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| LBN Legal business name | LONGEVITY MEDICINE, PLLC | ||||
| Authorized official | PETER ERICKSON - (PRESIDENT/CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/03/2008 | ||||
| Last updated | 03/03/2008 - About 18 years ago | ||||
| Identifiers |
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LONGEVITY MEDICINE, PLLC
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LONGEVITY MEDICINE, PLLC