OPTIMAL PERFORMANCE MEDICINE, LLC

CHEYENNE, WY
NPI1659911550
Entity TypeOrganization
Authorized ContactPAUL JORDAN WASHBURN
Director/Owner
970-518-9394
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2020-01-09
Last Update Date2020-01-09
Business Address
OPTIMAL PERFORMANCE MEDICINE, LLC
611 E CARLSON ST STE 117C
CHEYENNE, WY 82009-4311
Phone number: 307-514-0510
Mailing Address
OPTIMAL PERFORMANCE MEDICINE, LLC
611 E CARLSON ST STE 117C
CHEYENNE, WY 82009-4311
Phone number: 307-514-0510
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