Organization
OMER H WHARTON-ALI MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMER H WHARTON-ALI MD (PRESIDENT)
(702) 399-3404
Entity
Organization
Contact information
Practice address
1703 CIVIC CENTER DR #1B, N LAS VEGAS, NV 89030-7273
(702) 399-3404
(702) 399-1819
Mailing address
PO BOX 364479, N LAS VEGAS, NV 89036-8479
(702) 399-3404
(702) 399-1819
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3863
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002260
—
NV
Enumeration date
09/15/2005
Last updated
01/08/2008
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