Individual
DONNA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3600 OLENTANGY RIVER RD, BLDG 490, COLUMBUS, OH 43214-3437
(614) 459-1000
(614) 459-1382
Mailing address
3600 OLENTANGY RIVER RD, BLDG 490, COLUMBUS, OH 43214-3437
(614) 459-1000
(614) 459-1382
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35057930
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0672189
MEDICARE PTAN
OH
05
—
0737797
—
OH
Enumeration date
10/05/2006
Last updated
10/28/2011
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