OLIVER DIAZ GOMEZ

JACKSON, MS
NPI1467147850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  T-5115)
Enumeration Date2023-04-10
Last Update Date2023-07-01
Business Address
OLIVER DIAZ GOMEZ MD
764 LAKELAND DR
JACKSON, MS 39216-4651
Phone number: 601-984-6800
Mailing Address
OLIVER DIAZ GOMEZ MD
1204 GREYMONT AVE
JACKSON, MS 39202-2155
Phone number: 407-968-1080