Omg Arizona, Llc

NPI 1184014854 - Internal Medicine - 207R00000X

NPI Details
NPI 1184014854
Enumeration Date 02/02/2015
Last Updated 02/02/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name THOMAS THOMAS
Position PRESIDENT
Phone (602) 218-4075
Fax
Practice Location
2201 E CAMELBACK RD
SUITE 101A
PHOENIX AZ, 85016-3431, US
Phone (602) 218-4075
Fax
Business Location
130 SUTTER ST
2ND FLOOR
SAN FRANCISCO CA, 94104-4003, US
Phone (415) 658-6791
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Omg Arizona, Llc NPI is 1184014854, taxonomy code is 207R00000X Omg Arizona, Llc physically located at 2201 E Camelback Rd, Phoenix AZ, 85016-3431. NPI Number 1033115704 has the healthcare provider type.

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1184014854 NPI number is provided on an as is basis without warranty of any kind. 1184014854 is maintained by the National Plan & Provider Enumeration System. The contents of Omg Arizona, Llc are for informational purposes only.