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Organization
OPTUM MEDICAL SERVICES PC
Active
Organization
OPTUM MEDICAL SERVICES PC
Active
Other names
Optum Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD SHUMACHER MD (OFFICER)
(952) 205-1189
Entity
Organization
Contact information
Practice address
5060 S FORT APACHE RD, SUITE 150, LAS VEGAS, NV 89148-1716
(877) 456-5506
Mailing address
PO BOX 692, MINNEAPOLIS, MN 55440-0692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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