MARIO DIAZ

SALEM, OR
NPI1164460697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  PA057229)
Enumeration Date2006-06-04
Last Update Date2010-01-18
Business Address
-- MARIO DIAZ P.A.
2020 CAPITOL ST NE
SALEM, OR 97303-3244
Phone number: 503-399-2424
Mailing Address
-- MARIO DIAZ P.A.
PO BOX 8100
SALEM, OR 97303-0900
Phone number: 503-399-2424