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Individual
ANTHONY DIAZ
Active
Individual
ANTHONY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
06026-1001-3
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06026
—
UT
Enumeration date
08/24/2005
Last updated
07/08/2007
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