Individual
LUIS SANTIAGO GARCIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6901 E CHAUNCEY LN APT 1028, PHOENIX, AZ 85054-5104
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-166
—
Other
Enumeration date
06/04/2018
Last updated
02/15/2022
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