Individual
RICHARD F DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6401 FRANCE AVE S, SOUTHDALE RADIATION THERAPY, EDINA, MN 55435-2104
(952) 920-8477
(952) 920-8176
Mailing address
7401 METRO BLVD STE 210, EDINA, MN 55439-3086
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
30803
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01272DI
BLUE CROSS/SHIELD
MN
01
—
104833
UCARE
MN
01
—
108859
CHOICE PLUS
MN
01
—
2400004
MEDICA PRIMARY
MN
01
—
2413463
MEDICA
MN
01
—
25134
AMERICA'S PPO
MN
05
—
30814700
—
MN
05
—
522585000
—
MN
01
—
963070250006
PREFERRED ONE
MN
01
—
HP13158
HEALTH PARTNERS
MN
Enumeration date
08/09/2005
Last updated
11/28/2023
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