Individual
OMAR OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4536 S POSEIDON DR, WEST VALLEY CITY, UT 84120-5809
(385) 228-4462
Mailing address
4536 S POSEIDON DR, WEST VALLEY CITY, UT 84120-5809
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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