Organization
MICHAEL DIAZ MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS M DIAZ MD (OWNER)
(228) 396-2663
Entity
Organization
Contact information
Practice address
936 TOMMY MUNRO DR, BILOXI, MS 39532-2130
(228) 396-2663
(228) 396-2664
Mailing address
936 TOMMY MUNRO DR, BILOXI, MS 39532-2130
(228) 396-2663
(228) 396-2664
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
19063
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245436815
BCBS
MS
Enumeration date
07/17/2018
Last updated
07/17/2018
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