Individual
DR. OMAR ALEXANDER PROTZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VCUHS DEPT OF ORTS RESIDENCY, 980153, 1250 E. MARSHALL STREET, RICHMOND, VA 23298-0153
(804) 827-1204
Mailing address
1200 E BROAD ST # 980153, RICHMOND, VA 23298-5025
(804) 628-2676
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1018532
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101285954
VA
Other
Enumeration date
04/22/2019
Last updated
08/13/2025
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