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NPI Code Detail

MEDICARE: DR. STEVEN GREGORY O'MARA DO

MEDICARE: DR. STEVEN GREGORY O'MARA DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianDO-713AL

General Provider Information

NPI Number : 1215972922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN GREGORY O'MARA DO
Provider Business Mailing Address
First Line : 247 E FARMINGTON TRCE
Second Line :
City : PIKE ROAD
State : AL
Zip : 36064-3217
Country : US
Telephone Number : 334-288-5009
Fax Number : 334-288-5009
Provider Business Practice Location Address
First Line : 1845 CHERRY ST
Second Line :
City : MONTGOMERY
State : AL
Zip : 36107-2613
Country : US
Telephone Number : 334-420-5001
Fax Number : 334-420-0160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 03/26/2025

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