| NPI | 1174594634 |
|---|---|
| Doing Business As | OPTUM - BROADWAY |
| Entity Type | Organization |
| Authorized Contact | CRAIG PEPIN Physician/Owner 206-860-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208200000X Plastic Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085B0100X Radiology, Body Imaging | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2024-05-13 |