Organization
IDEA TELEMEDICINE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TODD ALLGAIER MD (PRESIDENT)
(509) 222-1275
Entity
Organization
Contact information
Practice address
863 LIBERTY ST NE STE 300, SALEM, OR 97301-2451
(877) 522-1275
Mailing address
5615 DUNBARTON AVE, PASCO, WA 99301-8216
(509) 570-9302
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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