Juan Carlos Diaz M.D.

NPI 1669768149 - General Practice - 208D00000X

NPI Details
NPI 1669768149
Gender Male
Enumeration Date 06/23/2011
Last Updated 12/04/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
7149 BLACKSHEEP RUN
AVIATION HEALTH CLINIC
FORT CAMPBELL KY, 42223, US
Phone (270) 412-8372
Fax
Business Location
7149 BLACKSHEEP RUN
AVIATION HEALTH CLINIC
FORT CAMPBELL KY, 42223, US
Phone (270) 412-8372
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Virginia
License Number 0101252412
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According to our database, Dr. Juan Carlos Diaz M.D. NPI is 1669768149, taxonomy code is 208D00000X and license number is 0101252412, license state is located at Virginia. Juan Carlos Diaz M.D. physically located at 7149 Blacksheep Run, Fort Campbell KY, 42223. NPI Number Juan Carlos Diaz M.D. has the Individual type.

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1669768149 NPI number is provided on an as is basis without warranty of any kind. 1669768149 is maintained by the National Plan & Provider Enumeration System. The contents of Juan Carlos Diaz M.D. are for informational purposes only.