Ideal Option, Pllc | |
2101 Pine St Sandpoint ID 83864-9327 | |
(877) 522-1275 | |
(833) 888-7145 |
Full Name | Ideal Option, Pllc |
---|---|
Speciality | Clinic/center |
Location | 2101 Pine St, Sandpoint, Idaho |
Authorized Official Name and Position | Shannon Marie Bowden (CREDENTIALING MANAGER) |
Authorized Official Contact | 5095709302 |
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: (877) 522-1275 | Ideal Option, Pllc 2101 Pine St Sandpoint ID 83864-9327 Ph: (877) 522-1275 |
NPI Number | 1073378808 |
---|---|
Provider Enumeration Date | 02/20/2024 |
Last Update Date | 02/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073378808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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