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
1205 S MAIN ST, KALISPELL, MT 59901-5639
(877) 522-1275
(509) 491-3031
Mailing address
5615 DUNBARTON AVE, PASCO, WA 99301-8216
(877) 522-1275
(509) 491-3031
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457788275
IDEAL TELEMEDICINE SERVICES LLC
WA
Enumeration date
09/17/2018
Last updated
09/17/2018
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