Individual
DR. ELMO DIAZ VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-3943
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156544001
—
AR
01
—
5M773
BCBS
AR
Enumeration date
06/29/2006
Last updated
07/21/2022
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