Organization
OMNIBUS MEDICAL CORP
Active
Parent organization
OMNIBUS MEDICAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
OMNIBUS MEDICAL CORP
Authorized official
MR. CODY HALL (MANAGER)
(704) 617-8535
Entity
Organization
Contact information
Practice address
1810 E SAHARA AVE STE 133, LAS VEGAS, NV 89104-3707
(323) 590-9128
Mailing address
1810 E SAHARA AVE STE 133, LAS VEGAS, NV 89104-3707
(323) 590-9128
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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