MARK A OMALLEY DO PC
Radiology at Anderson Dr, Phoenix, AZ

License number
Arizona 3364
Category
Radiology
Type
Surgery
Owner
Name: MARK ALAN OMALLEY DO
Title: PRESIDENT
Phone: (602) 862-9390
Address
Address
3420 EAST Anderson Dr, Phoenix, AZ 85032
National Provider ID: 1538122197
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK A O'MALLEY,D.O. PC

Pmb 189, Phoenix, AZ 85032

Registration:
Nov 23, 1999
State ID:
-0895260-0
Expiration:
PERPETUAL
President:
Mark A O'malley (President), Pmb 189, Phoenix, AZ 85032 (Physical)
Agent:
Mark A Omalley,3420 E Anderson Dr, Phoenix, AZ 85032 (Physical)
Business type:
HEALTH CARE

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