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Individual
DR. BERNARDO FABIAN DIAZ JR.
Active
Individual
DR. BERNARDO FABIAN DIAZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2022030140
MO
208600000X
Surgery Physician
654947
PA
2086S0102X
Surgical Critical Care Physician
2022030140
MO
2086S0102X
Surgical Critical Care Physician
Primary
D98084
MD
2086S0102X
Surgical Critical Care Physician
MD473032
PA
2086S0127X
Trauma Surgery Physician
2022030140
MO
Other
Enumeration date
05/26/2015
Last updated
12/05/2023
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