Individual
DR. JESUS DIAZ-MUNIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
816 RUDOLPH WAY, GREENDALE, IN 47025-8312
(812) 537-1668
(812) 537-1625
Mailing address
6312 E 101ST ST, TULSA, OK 74137-7007
(918) 456-2549
(918) 893-6202
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01067757A
IN
208D00000X
General Practice Physician
31630
OK
Other
Enumeration date
07/26/2007
Last updated
06/25/2021
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