Individual
DR. OMAR NIZAR OSMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N PENNSYLVANIA AVE, SUITE101, ROSWELL, NM 88201-4754
(575) 623-9101
(575) 623-3020
Mailing address
400 N PENNSYLVANIA AVE, SUITE101, ROSWELL, NM 88201-4754
(575) 623-9101
(575) 623-3020
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2002-0310
NM
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
2002-0310
NM
207XS0117X
Orthopaedic Surgery of the Spine Physician
2002-0310
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37026259
—
NM
Enumeration date
05/16/2006
Last updated
12/23/2013
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