Individual
CHRIS ALFONSO DIAZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
700 HARRIETT ST, MOUNT VERNON, IN 47620-2031
(812) 833-5928
(812) 833-2090
Mailing address
670 SOUTHFIELD RD, EVANSVILLE, IN 47715-6949
(812) 760-9431
(812) 833-2090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000002A
IN
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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