Organization
DIAZ FOOT & ANKLE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REX G DIAZ DPM (PRESIDENT)
(757) 673-8562
Entity
Organization
Contact information
Practice address
612 KINGSBOROUGH SQ, SUITE 202, CHESAPEAKE, VA 23320-5041
(757) 673-8562
(757) 673-8174
Mailing address
PO BOX 6480, VIRGINIA BEACH, VA 23456-0480
(757) 673-8562
(757) 673-8174
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300814
VA
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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