Organization
PULMONOLOGY & BRONCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIR OMAR ALI M.D. (PRESIDENT)
(708) 212-9101
Entity
Organization
Contact information
Practice address
8878 US 70 HWY W, SUITE 400A, CLAYTON, NC 27520-4823
(919) 550-5663
(919) 550-5761
Mailing address
8878 US 70 HWY W, SUITE 400A, CLAYTON, NC 27520-4823
(919) 550-5663
(919) 550-5761
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NC
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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