Individual
OSMA MOHAMED OSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
995 E BASELINE RD APT 2174, TEMPE, AZ 85283-1365
(480) 797-1467
Mailing address
995 E BASELINE RD APT 2174, TEMPE, AZ 85283-1365
(480) 797-1467
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
436804
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301619
AHCCCS
AZ
Enumeration date
06/18/2010
Last updated
06/18/2010
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