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Organization
OPTIMA MED SPA PLLC
Active
Organization
OPTIMA MED SPA PLLC
Active
Other names
Optima Medical Weight Loss & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JOHNSON (OWNER)
(319) 768-7000
Entity
Organization
Contact information
Practice address
1950 DODGE RD NE, SUITE 106 (INSIDE COLDSTREAM HEALTH), CEDAR RAPIDS, IA 52402
(319) 768-7000
Mailing address
3315 WILLIAMS BLVD SW # 2-112, CEDAR RAPIDS, IA 52404-1478
(319) 573-2891
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
12/31/2024
Last updated
03/09/2025
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