Individual
ROBERT OMWOYO OMURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 E CAMELBACK RD, 1100, PHOENIX, AZ 85016-4219
(602) 778-3600
(801) 352-9502
Mailing address
PO BOX 708850, SANDY, UT 84070-8850
(866) 869-2395
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101251839
VA
207R00000X
Internal Medicine Physician
37284
AZ
208M00000X
Hospitalist Physician
0101251839
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300361
—
AZ
01
—
P00418604
RAIL ROAD MEDICARE
AZ
Enumeration date
09/04/2007
Last updated
07/11/2022
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