Organization
IDEAL TELEMEDICINE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TODD ALLGAIER MD (CEO)
(509) 222-1275
Entity
Organization
Contact information
Practice address
8514 W GAGE BLVD STE G, KENNEWICK, WA 99336-8108
(509) 222-1275
(509) 222-1275
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
—
WA
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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