| NPI | 1619914959 |
|---|---|
| Doing Business As | OPTUM BANNER SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | EMILY CASTILLO Associate Director 702-480-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 152W00000X Optometrist |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2025-04-14 |