Provider Demographics
NPI:1417335159
Name:POLISHED HOLDINGS INC
Entity Type:Organization
Organization Name:POLISHED HOLDINGS INC
Other - Org Name:AGELESS MEN'S HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF BUSINESS OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-757-3643
Mailing Address - Street 1:7135 E CAMELBACK RD
Mailing Address - Street 2:SUITE 173
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-1262
Mailing Address - Country:US
Mailing Address - Phone:480-659-2788
Mailing Address - Fax:
Practice Address - Street 1:7135 E CAMELBACK RD
Practice Address - Street 2:SUITE 173
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-1262
Practice Address - Country:US
Practice Address - Phone:480-659-2788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty