Organization
REX GALAM DIAZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REX GALAM DIAZ DPM (OWNER)
(757) 673-8562
Entity
Organization
Contact information
Practice address
612 KINGSBOROUGH SQ SUITE 202, CHESAPEAKE, VA 23320
(757) 673-8562
Mailing address
612 KINGSBOROUGH SQ STE 202, CHESAPEAKE, VA 23320-5054
(757) 673-8562
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103300814
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010135729
—
VA
Enumeration date
09/14/2007
Last updated
04/25/2011
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