Individual
OMAR FUAD SHIHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2980 E JULIET WAY, SALT LAKE CITY, UT 84121-7022
(801) 733-4466
Mailing address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(801) 558-2315
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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