Individual
DR. JASON A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, STE 11A, SAINT LOUIS, MO 63110-1032
(314) 362-7509
(314) 747-9744
Mailing address
660 S EUCLID AVE, C B 8115, SAINT LOUIS, MO 63110-1010
(314) 362-7509
(314) 362-7522
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2009016631
MO
Other
Enumeration date
09/25/2007
Last updated
01/17/2014
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