| NPI | 1407236367 |
|---|---|
| Doing Business As | OPTUM - MADISON CENTER |
| Entity Type | Organization |
| Authorized Contact | CRAIG PEPIN Physician/Owner 206-860-5414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2024-05-13 |