Individual
TIMOTHY JAMES O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 788-5261
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
12073
NV
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
12073
NV
207XX0801X
Orthopaedic Trauma Physician
12073
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100512698
—
NV
01
—
11531555
CAQH
—
Enumeration date
02/14/2007
Last updated
08/04/2023
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