RAVEN ALISE OMAR

BIRMINGHAM, AL
NPI1275385270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-04-03
Last Update Date2024-04-03
Business Address
RAVEN ALISE OMAR PA-C
48 MEDICAL PARK DR E STE 458
BIRMINGHAM, AL 35235-3473
Phone number: 205-838-1811
Mailing Address
RAVEN ALISE OMAR PA-C
7637 WIND GAP LN
PINSON, AL 35126-4001
Phone number: 205-901-8255