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Organization

IDEAL OPTION, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN JEFFERSON DAWSON MD (CMO)
(509) 222-1275
Entity
Organization

Contact information

Practice address
516 N ROLLING RD, # 301, CATONSVILLE, MD 21228-4140
(509) 222-1275
(509) 491-3031
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(877) 522-1275
(833) 888-7145

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
D0082182
MD
207P00000X
Emergency Medicine Physician
D0082238
MD
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
424394300
MD
Enumeration date
04/25/2017
Last updated
04/15/2025
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