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Individual

AMAURY DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
920 STANTON L YOUNG BLVD, WP 1160, OKLAHOMA CITY, OK 73104-5036
(405) 271-6122
(405) 271-6122
Mailing address
920 STANTON L YOUNG BLVD, WP 1160, OKLAHOMA CITY, OK 73104-5036
(405) 271-6122
(405) 271-6122

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26512
OK
207RI0200X
Infectious Disease Physician
Primary
26512
OK

Other

Enumeration date
07/03/2008
Last updated
05/14/2015
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