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Individual

CHRISTOPHER JOHN DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CHP-C

Contact information

Practice address
625 MAIN STREET, CHENEGA BAY, AK 99574-8029
(907) 573-5129
(907) 573-5148
Mailing address
1840 BRAGAW ST, SUITE 110, ANCHORAGE, AK 99508-3401
(907) 562-4155
(907) 563-2891

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020963
AK
Enumeration date
01/08/2008
Last updated
05/31/2016
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