| Ideal Option, PLLC | |
|
3345 39th St S Ste 1 Fargo ND 58104-7539 | |
| (877) 522-1275 | |
| (509) 491-3031 |
| Full Name | Ideal Option, PLLC |
|---|---|
| Speciality | Clinic/center |
| Location | 3345 39th St S Ste 1, Fargo, North Dakota |
| 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: (877) 522-1275 | Ideal Option, PLLC 3345 39th St S Ste 1 Fargo ND 58104-7539 Ph: (877) 522-1275 |
| NPI Number | 1891295242 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891295242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (North Dakota) | Primary |
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