Organization · Type 2 NPI
Ideal Option, PLLC
Addiction Medicine (Family Medicine) Physician · Santa Fe, NM
NPI number
1639690050
Active
Practice location
2019 Galisteo St Ste H1
Santa Fe, NM 87505-2106
Mailing address
8656 W Gage Blvd, Siute 301B
Kennewick, WA 99336-7145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
About NPI 1639690050
Ideal Option, PLLC's National Provider Identifier is 1639690050, issued on Jul 6, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Santa Fe, NM. The record was last updated on Aug 30, 2023.