Ideal Option, Pllc | |
416 Frontage Rd # 400 Kenai AK 99611-7770 | |
(509) 222-1275 | |
(509) 491-3031 |
Full Name | Ideal Option, Pllc |
---|---|
Speciality | Clinic/center |
Location | 416 Frontage Rd # 400, Kenai, Alaska |
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 8656 W Gage Blvd Ste 301b Kennewick WA 99336-7145 Ph: (509) 222-1275 | Ideal Option, Pllc 416 Frontage Rd # 400 Kenai AK 99611-7770 Ph: (509) 222-1275 |
NPI Number | 1063911287 |
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Provider Enumeration Date | 02/02/2018 |
Last Update Date | 08/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063911287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Washington) | Primary |
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