NPI | 1821454505 |
---|---|
Doing Business As | OPTIMA MEDICAL |
Entity Type | Organization |
Authorized Contact | MICHAEL VICTOR O'NEIL CEO 480-660-6706 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2016-01-11 |
Last Update Date | 2024-08-23 |