| NPI | 1467563718 |
|---|---|
| Doing Business As | OPTUM PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Regional Manager 702-480-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-09-02 |