Individual
DANIEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1524 PINTO LN FL 2, LAS VEGAS, NV 89106-4195
(702) 992-6888
Mailing address
3016 W CHARLESTON BLVD STE 205, LAS VEGAS, NV 89102-1963
(702) 780-2312
(702) 895-4014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A16032
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DO2581
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO2581
LICENSE
NV
Enumeration date
05/12/2016
Last updated
09/26/2019
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