| Onmo LLC | |
|
1939 Frontage Rd Suite G Sierra Vista AZ 85635-4638 | |
| (520) 458-4648 | |
| (520) 459-7945 |
| Full Name | Onmo LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1939 Frontage Rd, Sierra Vista, Arizona |
| Authorized Official Name and Position | Augustine O Bosah (MANAGER) |
| Authorized Official Contact | 5204584648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onmo LLC 1939 Frontage Rd Suite G Sierra Vista AZ 85635-4638 Ph: (520) 458-4648 | Onmo LLC 1939 Frontage Rd Suite G Sierra Vista AZ 85635-4638 Ph: (520) 458-4648 |
| NPI Number | 1750695094 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750695094 | NPI | - | NPPES |
| 1588794192 | Other | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42980 (Arizona) | Primary |
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