NPI 1063911287
Ideal Option, PLLC
Practice location
- Address
- 416 Frontage Rd # 400, Kenai, AK 99611-7770
- Phone
- (509) 222-1275
- Fax
- (509) 491-3031
- Mailing address
- 8656 W Gage Blvd STE 301b, Kennewick, WA 99336-7145
Authorised official
- Name
- Brian Jefferson Dawson
- Title
- Cmo
- Phone
- (509) 222-1275
Registered specialties
Clinic/Center
Primary
Registry record
- NPI
- 1063911287
- Entity type
- Organization
- NPI issued
- 2 Feb 2018
- Record last updated
- 30 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.