Individual
DR. VALERIE ANN OMICIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(314) 799-0273
Mailing address
1505 APPLECROFT LN, COCKEYSVILLE, MD 21030-1601
(314) 286-2447
(314) 286-2455
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01074576A
IN
207VG0400X
Gynecology Physician
2006019886
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201245206
—
MO
05
—
201253640
—
IN
Enumeration date
01/27/2006
Last updated
10/27/2014
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