Optimal Performance Medicine, LLC

NPI #1659911550 in Cheyenne, Wyoming

Provider Information

NPI Number: 1659911550
Entity Type: Organization
Organization Name: Optimal Performance Medicine, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 9, 2020
Last Updated: Jan 9, 2020

Practice Location

Address: 611 E CARLSON ST STE 117C
City: Cheyenne
State: Wyoming
ZIP Code: 82009-4311
Phone: (307) 514-0510

Authorized Official

Name: DR. PAUL JORDAN WASHBURN, MD, MPH
Title: DIRECTOR/OWNER
Phone: (970) 518-9394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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