Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35.083328 | OH |
NPI | 1285671545 |
---|---|
Provider Name | Omar Husein |
First Address | Spokane Valley, WA 99216-1088 |
Second Address | Spokane Valley, WA 99216-1088 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 02/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8511792 | (05) | WA |
8873597 | (02) | WA |