Individual
EMILIA M DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1414 E TIPTON ST, SEYMOUR, IN 47274-3533
(812) 405-2039
(812) 405-5039
Mailing address
5516 CHERRY BIRCH DR, INDIANAPOLIS, IN 46237-3804
(260) 580-7413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10002897
IN
363A00000X
Physician Assistant
Primary
10002897A
IN
Other
Enumeration date
02/13/2020
Last updated
10/10/2023
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