Individual
BART MATTHEW DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
155 CALLE PORTAL SUITE 300, DOUGLAS, AZ 85607
(520) 459-3011
(520) 364-4261
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007912
AZ
Other
Enumeration date
08/19/2006
Last updated
07/14/2021
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