Derek Omori, PA

NPI #1699143263 in Riverton, Utah

Provider Information

NPI Number
1699143263
Entity Type
Individual
Name
Derek Omori, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Sep 12, 2015
Last Updated
Dec 24, 2023

Practice Location

Address
3723 W 12600 S STE 450
State
Utah
ZIP Code
84065-7296
Phone
(801) 285-4673

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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