Individual
DAVID DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2156 E. WILLIAMS FIELD RD., #104, GILBERT, AZ 85296
(480) 814-2584
(480) 963-9591
Mailing address
14405 W. COLFAX AVE, #310, LAKEWOOD, CA 80401
(303) 522-7137
(303) 302-6906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1957
AZ
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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