Individual
MOHAMED OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7721 W MESCAL ST, PEORIA, AZ 85345-1012
(480) 246-1330
Mailing address
7721 W MESCAL ST, PEORIA, AZ 85345-1012
(480) 246-1330
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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