Individual
DR. BARRY JOSEF OSTORGA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3634 S MARYLAND PKWY, LAS VEGAS, NV 89169-3033
(800) 628-6965
Mailing address
1 MEDICAL CENTER DRIVE HC63 BOX 9000, DILKON, AZ 86047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23702
NV
183500000X
Pharmacist
PH200004603
DC
Other
Enumeration date
02/02/2023
Last updated
03/14/2024
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