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Individual
MR. ROGER A DIAZ
Active
Individual
MR. ROGER A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02049
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00518410
—
NC
Enumeration date
12/18/2009
Last updated
01/05/2024
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