Individual
MARCIA L DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
715 N FOREMAN ST, VINITA, OK 74301-1422
(918) 256-8731
(918) 256-5123
Mailing address
6600 S YALE AVE, STE 1400, TULSA, OK 74136-3310
(918) 488-6001
(918) 488-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0074291
OK
Other
Enumeration date
12/22/2005
Last updated
07/24/2008
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