Individual
TIMOTHY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1818 N 6TH ST, TERRE HAUTE, IN 47804-4021
(812) 232-1123
Mailing address
1818 N 6TH ST, TERRE HAUTE, IN 47804-4021
(812) 232-1123
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02007735A
IN
Other
Enumeration date
05/03/2019
Last updated
06/18/2024
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