Organization
OMEGA CHOICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPHA D WADE D.O. (PRESIDENT)
(435) 216-2184
Entity
Organization
Contact information
Practice address
2250 N CORAL CANYON BLVD, STE 102, WASHINGTON, UT 84780-2649
(435) 216-2184
Mailing address
9030 W SAHARA AVE, STE 406, LAS VEGAS, NV 89117-5744
(435) 216-2184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
180211-1204
UT
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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