Ideal Option, Pllc
NPI #1164930905 in Longview, Washington
Provider Information
- NPI Number
- 1164930905
- Entity Type
- Organization
- Organization Name
- Ideal Option, Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 15, 2018
- Last Updated
- Aug 30, 2023
Practice Location
- Address
- 1146 14TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3017
- Phone
- (877) 522-1275
Authorized Official
- Name
- BRIAN JEFFERSON DAWSON, MD
- Title
- CMO
- Phone
- (509) 222-1275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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