Ideal Telemedicine Services, LLC
Clinic/Center in Bozeman, MT. Organization (NPI-2).
NPI number1104339597
StatusActive
Last updated in NPPESNov 8, 2017
Details
- NPI
- 1104339597
- Entity type
- Organization (NPI-2)
- Legal business name
- Ideal Telemedicine Services, LLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2017
- Last updated
- Nov 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Ideal Option, PLLC (Doing Business As)
Practice location
1532 Ellis St Ste 104Bozeman, MT 59715-8809
Phone 509-222-1275 · Fax 509-491-3031
Mailing address
8656 W Gage Blvd Ste 301bKennewick, WA 99336-7145
Phone 509-222-1275 · Fax 509-491-3031
Authorized official
Jeffrey Todd Allgaier
Ceo
5092221275
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