| Ideal Option Pllc | |
|
1100 Lexington Ave Ste 400 Fort Smith AR 72901-5170 | |
| (509) 570-9302 | |
| (509) 491-3031 |
| Full Name | Ideal Option Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1100 Lexington Ave Ste 400, Fort Smith, Arkansas |
| 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) 570-9302 | Ideal Option Pllc 1100 Lexington Ave Ste 400 Fort Smith AR 72901-5170 Ph: (509) 570-9302 |
| NPI Number | 1740039213 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740039213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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