Individual
OMAR K DORZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4033 TALBOT RD S STE 530, RENTON, WA 98055-5700
(425) 690-3498
(425) 690-9498
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036115652
IL
2086S0129X
Vascular Surgery Physician
Primary
MD60000910
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092866
—
WA
Enumeration date
05/20/2008
Last updated
05/04/2021
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