| NPI | 1689089997 |
|---|---|
| Other Name | OPTUM - SPINE PHYSIATRY |
| Entity Type | Organization |
| Authorized Contact | GEORGE GO Board President 425-259-0966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-04-10 |