Individual
MR. ROBERT MARTIN DIANA
Active
Individual
MR. ROBERT MARTIN DIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10034
MN
363A00000X
Physician Assistant
PA09406
TX
363AS0400X
Surgical Physician Assistant
3668
AZ
363AS0400X
Surgical Physician Assistant
Primary
PA9109572
FL
363AS0400X
Surgical Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-06807
MEDICA CHOICE
MN
01
—
01-22334
MEDICA PRIMARY
MN
01
—
1045684
PREFERRED ONE
MN
01
—
135523
UCARE
MN
01
—
2407141
ARAZ
MN
05
—
278121
—
AZ
05
—
4307120
—
MT
05
—
487448000
—
MN
01
—
695T1DI
BCBS
MN
01
—
HP58138
HEALTHPARTNERS
MN
01
—
P00455556
RR MEDICARE
AZ
01
—
Z118762
MEDICARE
AZ
Enumeration date
06/28/2006
Last updated
09/20/2016
Update your record
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