NPI | 1194428425 |
---|---|
Other Name | OPTUM - SOPER HILL |
Entity Type | Organization |
Authorized Contact | GEORGE GO Board President 425-259-0966 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2023-03-24 |
Last Update Date | 2024-04-08 |