Individual
RICHARD SAUL DIAZ TUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2410 W PIERCE ST, CARLSBAD, NM 88220-3512
(575) 887-7281
(575) 885-5983
Mailing address
2410 W PIERCE ST, CARLSBAD, NM 88220-3512
(575) 887-7281
(575) 885-5983
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35967
AZ
208800000X
Urology Physician
Primary
MD.200955
LA
208800000X
Urology Physician
MD2006-0523
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04653251
—
MS
05
—
1715611
—
LA
05
—
341525
—
AZ
Enumeration date
07/05/2006
Last updated
12/15/2021
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