Individual
MICHAEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3600 TABLE MESA DR, BOULDER, CO 80305-5895
(303) 499-4244
Mailing address
2840 BLAKE ST APT 225, DENVER, CO 80205-3593
(818) 470-5726
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0025170
CO
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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