Individual
JOHN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1171 W TARGET RANGE ROAD, CARONDELET HOLY CROSS HOSPITAL, NOGALES, AZ 85621
(520) 287-2771
Mailing address
1427 E SILVER ST, TUCSON, AZ 85719-3157
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9465
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128547-06
—
CA
Enumeration date
06/16/2006
Last updated
07/08/2007
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