Individual
MRS. IDABELLE DIAZ-GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5065 FOREST DR STE 101, NEW ALBANY, OH 43054-8778
(614) 618-0514
(614) 333-8339
Mailing address
5065 FOREST DR STE 101, NEW ALBANY, OH 43054-8778
(614) 618-0514
(614) 333-8339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5001008RX
OH
363AM0700X
Medical Physician Assistant
Primary
5418
AZ
Other
Enumeration date
07/19/2013
Last updated
04/24/2026
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