Individual
DR. ELIER DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41022 GALVEZ AVE, PRAIRIEVILLE, LA 70769-5918
(225) 622-1425
(225) 622-0223
Mailing address
41022 GALVEZ AVE, PRAIRIEVILLE, LA 70769-5918
(225) 622-1425
(225) 622-0223
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.011792
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55976
—
LA
Enumeration date
12/13/2011
Last updated
12/13/2011
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