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Organization
OPTUM MEDICAL SERVICES, P.C.
Active
Organization
OPTUM MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK M STANLEY (CHIEF OPERATING OFFICER)
(615) 523-5572
Entity
Organization
Contact information
Practice address
150 FAYETTEVILLE ST, BOX 1011, RALEIGH, NC 27601-1395
(952) 917-7217
Mailing address
150 FAYETTEVILLE ST, BOX1011, RALEIGH, NC 27601-1395
(952) 917-7217
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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