Optimal Performance Medicine, LLC

Internal Medicine Physician · Cheyenne, WY

Organization Active NPI

NPI number 1659911550

Practice location

611 E Carlson St Ste 117c
Cheyenne, WY 82009-4311
Phone
(307) 514-0510

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NPI record

NPI
1659911550
Entity type
Organization (Type 2)
Enumeration date
January 9, 2020
Last updated
January 9, 2020
Certified
January 9, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X — —

Authorized official

Name
Dr. Paul Jordan Washburn, MD, MPH
Title
Director/Owner
Phone
(970) 518-9394

About Optimal Performance Medicine, LLC

Optimal Performance Medicine, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 611 E Carlson St Ste 117c, Cheyenne, WY 82009-4311. The NPI number 1659911550 was assigned on January 9, 2020 and the record was last updated on January 9, 2020.

The authorized official for this organization is Dr. Paul Jordan Washburn, MD, MPH, Director/Owner.

Frequently asked questions

What is the NPI number of Optimal Performance Medicine, LLC?

The NPI number is 1659911550.

What is the phone number of Optimal Performance Medicine, LLC?

The phone number listed for the practice location is (307) 514-0510.

Where is Optimal Performance Medicine, LLC located?

611 E Carlson St Ste 117c, Cheyenne, WY 82009-4311.

What is the taxonomy code for Optimal Performance Medicine, LLC?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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