Organization
DIAZ INTERNAL MEDICINE AND PEDIATRICS
Active
Organization
DIAZ INTERNAL MEDICINE AND PEDIATRICS
Active
Other names
Arizona Medical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTE DIAZ-GONZALEZ M.D. (OWNER AND PHYSICIAN)
(623) 536-7600
Entity
Organization
Contact information
Practice address
3050 N LITCHFIELD RD, SUITE 130, GOODYEAR, AZ 85395-7804
(623) 536-7600
(623) 536-7828
Mailing address
14175 W INDIAN SCHOOL RD, SUITE B4 605, GOODYEAR, AZ 85395-8369
(623) 536-7600
(623) 536-7828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31532
AZ
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332069
—
AZ
Enumeration date
04/17/2007
Last updated
11/13/2008
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