JONATHAN RAY DIAZ

COLORADO SPRINGS, CO
NPI1578856159
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: CO  DR.0062521)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: FL  OS19628)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NC  2016-01799)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: LA  338240)
208D00000X General Practice
(Licence: WA  1014)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MO  2023047856)
Enumeration Date2011-05-16
Last Update Date2024-01-02
Business Address
Dr. JONATHAN RAY DIAZ D.O.
4110 BRIARGATE PKWY STE 405
COLORADO SPRINGS, CO 80920-7838
Phone number: 719-365-7300
Mailing Address
Dr. JONATHAN RAY DIAZ D.O.
1650 COCHRANE CIR
COLORADO SPRINGS, CO 80913-4613
Phone number: 719-524-2410