Individual
ALBERT DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720A MEDICAL PARK DR, SUITE 130, BILOXI, MS 39532-2129
(228) 396-0337
Mailing address
147 REYNOIR ST, SUITE 203, BILOXI, MS 39530-4109
(228) 396-0337
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
07274
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015105
—
MS
Enumeration date
07/28/2006
Last updated
07/16/2013
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