Individual
MR. GALALELDIN OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8235 E MCDONALD DR, SCOTTSDALE, AZ 85250-6217
(480) 228-4098
Mailing address
8235 E MCDONALD DR, SCOTTSDALE, AZ 85250-6217
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
172A00000X
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
703516
TRANSPORTATION
AZ
Enumeration date
12/08/2015
Last updated
12/08/2015
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