Organization
IDEAL TELEMEDICINE SERVICES, LLC
Active
Other names
Ideal Option, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TODD ALLGAIER MD (CEO)
(509) 222-1275
Entity
Organization
Contact information
Practice address
1532 ELLIS ST STE 104, BOZEMAN, MT 59715-8809
(509) 222-1275
(509) 491-3031
Mailing address
8656 W GAGE BLVD STE 301B, KENNEWICK, WA 99336-7145
(509) 222-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457788275
—
WV
Enumeration date
11/08/2017
Last updated
11/08/2017
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