IDEAL OPTION PLLC NPI 1639690050

NPI Information

IDEAL OPTION, PLLC is an addiction medicine family medicine in Santa Fe, NM. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. IDEAL OPTION, PLLC NPI is 1639690050. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2019 GALISTEO ST STE H1
SANTA FE, NM
ZIP 87505-106
Phone: (509) 222-1275

The provider's authorized official is Brian Jefferson Dawson .
The authorized official title is Cmo and has the following contact phone number (509) 222-1275.

The enumeration date for this NPI number is 7/6/2017 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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