Individual
DR. ALEXANDER DIAZ BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-4603
(404) 712-2000
Mailing address
3307 PORT ROYALE DR S APT C105, FORT LAUDERDALE, FL 33308-7952
(314) 750-2592
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
99982
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
99982
GA
390200000X
Student in an Organized Health Care Education/Training Program
TRN29568
FL
Other
Enumeration date
06/07/2019
Last updated
12/13/2024
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