Organization
OPTIMUMEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE WARD (CFO)
(702) 302-4569
Entity
Organization
Contact information
Practice address
5010 S DECATUR BLVD STE G&H, LAS VEGAS, NV 89118-4934
(702) 302-4569
Mailing address
5010 S DECATUR BLVD STE G&H, LAS VEGAS, NV 89118-4934
(702) 302-4569
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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