institution
Omer H Wharton-ali Md A Professional Corporation
Primary Care Clinic/Center in N Las Vegas, Nevada
NPI 1912992983

Omer H Wharton-ali Md A Professional Corporation is a Primary Care Clinic/Center based in N Las Vegas, NV and is specialized in Primary Care. Omer H Wharton-ali Md A Professional Corporation practices in N Las Vegas, NV. The NPI Number for Omer H Wharton-ali Md A Professional Corporation is 1912992983 and holds a License No. 3863 (Nevada).

The current practice location address for Omer H Wharton-ali Md A Professional Corporation is 1703 Civic Center Dr #1B, N Las Vegas, NV and can be reached out via phone at 702-399-3404 and via fax at 702-399-1819. You can also correspond with Omer H Wharton-ali Md A Professional Corporation through the mailing address at PO BOX 364479, N LAS VEGAS, NV - 89036-8479 (mailing address contact number: 702-399-3404).

Location: 1703 Civic Center Dr #1B, N Las Vegas, NV, 89036-8479
institution
Provider Profile Details
NPI Number
1912992983
Provider Name
Omer H Wharton-ali Md A Professional Corporation
Credential
Provider Entity Type
Organization
Address
1703 Civic Center Dr #1B, N Las Vegas, NV, 89036-8479
Phone Number
702-399-3404
Fax Number
702-399-1819
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002002260 05 NV
institution
Provider Business Practice Location Address Details
Address
1703 Civic Center Dr #1B
City
State
Zip
89030-7273
Phone Number
702-399-3404
Fax Number
702-399-1819
person
Provider Business Mailing Address Details
Address
Po Box 364479
City
State
Zip
89036-8479
Phone Number
702-399-3404
Fax Number
702-399-1819
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
3863 (Nevada)
Definition
Definition to come...
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