Omega Choice INC

NPI #1215255609 in Washington, Utah

Provider Information

NPI Number: 1215255609
Entity Type: Organization
Organization Name: Omega Choice INC
Primary Specialty: Family Medicine
Enumeration Date: May 10, 2010
Last Updated: May 10, 2010

Practice Location

Address: 2250 N CORAL CANYON BLVD
Address 2: STE 102
City: Washington
State: Utah
ZIP Code: 84780-2649
Phone: (435) 216-2184

Authorized Official

Name: RALPHA D WADE, D.O.
Title: PRESIDENT
Phone: (435) 216-2184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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