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1114910155
ANTHONY DIAZ
SALT LAKE CITY, UT
NPI
1114910155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 06026-1001-3)
Enumeration Date
2005-08-24
Last Update Date
2007-07-08
Business Address
ANTHONY DIAZ
3838 S 700 E STE 200
SALT LAKE CITY, UT 84106-1466
Phone number: 801-261-4988
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Mailing Address
ANTHONY DIAZ
PO BOX 27688
SALT LAKE CITY, UT 84127-0688
Phone number: 801-534-1360
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