| 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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