Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Identity Hormones LLC

Organization Adult Medicine Physician · NPI 1326642372

Identity Hormones LLC is an Adult Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Camelback Rd Ste 108
Phoenix, AZ 85012-1061
Phone: (901) 757-3643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1326642372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Wilkinson — Business Operations Director · (702) 818-0446
Other names Identity Hormones Llc; Identity Hormones Llc
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address100 E Camelback Rd Ste 108, Phoenix, AZ 85012-1061

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