Organization
OPTUM INFUSION CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DALLAGER (CHIEF FINANCIAL OFFICER, MANAGER)
(952) 205-7745
Entity
Organization
Contact information
Practice address
20414 N 27TH AVE STE 450, PHOENIX, AZ 85027-0002
(913) 335-6786
(844) 855-0868
Mailing address
15529 COLLEGE BLVD, LENEXA, KS 66219-1351
(913) 335-6786
(844) 855-0868
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
01/17/2025
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