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Organization

OPTIMAL HEALTH ALLIANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD BAUER (OWNER & OPERATOR)
(443) 880-0843
Entity
Organization

Contact information

Practice address
15912 E KIM DR, FOUNTAIN HILLS, AZ 85268-1828
(443) 880-0843
Mailing address
15912 E KIM DR, FOUNTAIN HILLS, AZ 85268-1828
(443) 880-0843

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/14/2023
Last updated
12/14/2023
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Product
  • Claims
  • Eligibility checks
  • EDI platform