Organization
OPTUM MEDICAL SERVICES PC
Active
Other names
Optum Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD SHUMACHER MD (OFFICER)
(952) 205-1189
Entity
Organization
Contact information
Practice address
5060 S FORT APACHE RD, SUITE 150, LAS VEGAS, NV 89148-1716
(877) 456-5506
Mailing address
PO BOX 692, MINNEAPOLIS, MN 55440-0692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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