Individual
MR. JOHN R OMOHUNDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8701 S HARDY DR, TEMPE, AZ 85284-2800
(602) 379-0101
(480) 467-1952
Mailing address
8701 S HARDY DR, TEMPE, AZ 85284-2800
(602) 379-0101
(480) 467-1952
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
0087
AZ
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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