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Individual

JAVIER DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3101 S. MARYLAND PKWY., SUITE #211, LAS VEGAS, NV 89147
(702) 951-2243
Mailing address
9670 MARINER VILLAGE COURT, LAS VEGAS, NV 89147
(702) 493-6048

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
724
NV

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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