Optimal Health Medicine LLC

NPI #1316299332 in Godfrey, Illinois

Provider Information

NPI Number: 1316299332
Entity Type: Organization
Organization Name: Optimal Health Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 15, 2012
Last Updated: May 14, 2025

Practice Location

Address: 1368 DADRIAN PROFESSIONAL PARK
City: Godfrey
State: Illinois
ZIP Code: 62035-1685
Phone: (618) 433-9701

Authorized Official

Name: DR. JON ANTHONY WAGNON, D.O.
Title: PRESIDENT
Phone: (618) 433-9701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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