| Doctor Name: | OMER HAMID WHARTON-ALI |
| NPI Number: | 1750566030 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 3863 |
| Business Practice Address: | 1703 Civic Center Dr Ste 1b N Las Vegas, NV - 890307273 |
| Business Phone Number: | 7023993404 |
| Business Fax Number: | 7023991819 |
| Mailing Address: | Po Box 364479, N LAS VEGAS |
| State: | NV |
| Postal Code: | 890368479 |
| Phone Number: | 7023993404 |
| Fax Number: | 7023991819 |
| NPI Enumeration Date: | 01/04/2008 |
| NPI Last Update Date: | 01/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 3863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |