Individual
MR. HOWARD T DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2592
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2956
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2004-0027
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30426529
—
NM
Enumeration date
06/15/2005
Last updated
07/28/2014
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