Individual
RONILO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 CAPP HARLAN RD, TOMPKINSVILLE, KY 42167-1808
(270) 487-9231
Mailing address
PO BOX 84, JAMESTOWN, KY 42629-0084
(270) 343-2350
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16587
KY
207P00000X
Emergency Medicine Physician
39323
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64165871
—
KY
Enumeration date
08/21/2006
Last updated
03/12/2008
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