Individual
DR. OMAR ALAZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
(510) 250-0843
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02008346A
IN
207P00000X
Emergency Medicine Physician
036.174423
IL
207P00000X
Emergency Medicine Physician
336158
NY
207P00000X
Emergency Medicine Physician
5151015708
MI
207P00000X
Emergency Medicine Physician
Primary
DO-07009
IA
Other
Enumeration date
05/12/2022
Last updated
09/02/2025
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