| NPI | 1063143907 |
|---|---|
| Doing Business As | OPTUM |
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Medical Staff Manager 702-480-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-10-27 |