Ideal Option, Pllc | |
3918 N Schreiber Way Coeur D Alene ID 83815-8395 | |
(877) 522-1275 | |
(509) 491-3031 |
Full Name | Ideal Option, Pllc |
---|---|
Speciality | Clinic/center |
Location | 3918 N Schreiber Way, Coeur D Alene, Idaho |
Authorized Official Name and Position | Brian Jefferson Dawson (CMO) |
Authorized Official Contact | 5092221275 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ideal Option, Pllc 5615 Dunbarton Ave Pasco WA 99301-8216 Ph: (509) 222-1275 | Ideal Option, Pllc 3918 N Schreiber Way Coeur D Alene ID 83815-8395 Ph: (877) 522-1275 |
NPI Number | 1912487646 |
---|---|
Provider Enumeration Date | 08/21/2018 |
Last Update Date | 08/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912487646 | NPI | - | NPPES |
1457788275 | Other | ID | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Idaho) | Primary |
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