| Alpha Omega Iom A Medical Corporation | |
|
5 Medical Plaza Dr Ste 120b Roseville CA 95661-2866 | |
| (916) 352-0016 | |
| Not Available |
| Full Name | Alpha Omega Iom A Medical Corporation |
|---|---|
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
| Location | 5 Medical Plaza Dr Ste 120b, Roseville, California |
| Authorized Official Name and Position | Tyler Smith (OWNER) |
| Authorized Official Contact | 9163520016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Omega Iom A Medical Corporation 5 Medical Plaza Dr Ste 120b Roseville CA 95661-2866 Ph: (916) 352-0016 | Alpha Omega Iom A Medical Corporation 5 Medical Plaza Dr Ste 120b Roseville CA 95661-2866 Ph: (916) 352-0016 |
| NPI Number | 1801531090 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 05/02/2022 |
| Certification Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801531090 | NPI | - | NPPES |
| A108880 | Other | CA | CA LICENSE |
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