Ideal Option, Pllc
NPI #1376020396 in Minot, North Dakota
Provider Information
- NPI Number
- 1376020396
- Entity Type
- Organization
- Organization Name
- Ideal Option, Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 23, 2018
- Last Updated
- Aug 30, 2023
Practice Location
- Address
- 3520 N BROADWAY
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58703-0513
- 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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