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Individual

DR. REX GALAM DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
725 VOLVO PKWY STE 210, CHESAPEAKE, VA 23320-1621
(757) 252-4200
(757) 410-9670
Mailing address
725 VOLVO PKWY STE 210, CHESAPEAKE, VA 23320-1621
(757) 252-4200
(757) 410-9670

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01033000814
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010135729
VA
01
5411080001
MEDICARE-DME
VA
Enumeration date
07/12/2006
Last updated
02/17/2022
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