Individual
DR. MARY ELIZABETH WADE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
828 HEALTHY WAY STE 220, VIRGINIA BEACH, VA 23462-7960
(757) 305-1797
(757) 309-4715
Mailing address
828 HEALTHY WAY STE 220, VIRGINIA BEACH, VA 23462-7960
(757) 305-1797
(757) 309-4715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208179
VA
Other
Enumeration date
03/31/2020
Last updated
09/13/2023
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