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Individual
DAVID J DIAZ
Active
Individual
DAVID J DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0420011773
VT
207W00000X
Ophthalmology Physician
250434
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016570
—
VT
01
—
P00755070
RAILROAD MEDICARE
VT
Enumeration date
05/10/2007
Last updated
02/16/2014
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