| NPI | 1154836872 |
|---|---|
| Doing Business As | IDEAL OPTION, PLLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN JEFFERSON DAWSON Cmo 509-222-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2023-08-30 |