Individual
DENISE ADRIANA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDIAL DRIVE, SALT LAKE CITY, UT 84132-0001
(801) 585-7676
Mailing address
2191 S MCCLELLAND ST APT 612, SALT LAKE CITY, UT 84106-4561
(208) 972-0980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12941653-1206
UT
Other
Enumeration date
04/28/2021
Last updated
02/05/2026
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