NPI | 1306890793 |
---|---|
Doing Business As | OPTIMA MEDICAL |
Entity Type | Organization |
Authorized Contact | MICHAEL O'NEIL CEO 480-660-6706 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN069526) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2020-06-15 |