Organization
IDEAL TELEMEDICINE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MARIE BOWDEN (CREDENTIALING MANAGER)
(509) 570-9302
Entity
Organization
Contact information
Practice address
617 10TH AVE S, GREAT FALLS, MT 59405-4048
(877) 522-1275
(833) 888-7145
Mailing address
5615 DUNBARTON AVE, PASCO, WA 99301-8216
(877) 522-1275
(833) 888-7145
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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