Individual
ALBERTO A DIAZ-ARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PORTLAND ST STE 110, COLUMBIA, MO 65201-7390
(573) 886-4600
(573) 886-4695
Mailing address
300 PORTLAND ST STE 110, COLUMBIA, MO 65201-7390
(573) 886-4600
(573) 886-4695
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
36752
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104040
UNITED HEALTHCARE
MO
01
—
126603
HEALTHLINK
MO
01
—
127403
BLUE SHIELD/BLUE CHOICE
MO
01
—
138623001
ARKANSAS MEDICAID
MO
05
—
203171103
—
MO
01
—
2086329201
KANSAS MEDICAID
MO
01
—
533976
IOWA MEDICAID
MO
Enumeration date
05/20/2006
Last updated
04/20/2022
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