Individual
JESUS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6815 FRONTAGE RD, MERRIAM, KS 66204-1398
(816) 478-4200
(816) 875-2598
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-46261
KS
207L00000X
Anesthesiology Physician
2009012767
MO
Other
Enumeration date
04/12/2009
Last updated
07/19/2024
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