Individual
DR. MIRZA E MORALES-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
412 DEVONIA ST, ROANE MEDICAL CENTER, HARRIMAN, TN 37748-2009
(865) 985-7234
(865) 291-3224
Mailing address
PO BOX 3061, PARK SLOPE FAMILY HEALTH CENTER, CLEVELAND, TN 37320-3061
(865) 985-7012
(865) 291-3224
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
48587
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02253538
—
NY
Enumeration date
09/15/2006
Last updated
06/17/2013
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