MARK DIAZ

MADISON, WI
NPI1700370020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  4404-23)
Enumeration Date2018-06-20
Last Update Date2018-06-20
Business Address
Mr. MARK DIAZ PA-C
77 S OAKBRIDGE CT APT 105
MADISON, WI 53717-2030
Phone number: 562-659-3459
Mailing Address
Mr. MARK DIAZ PA-C
77 S OAKBRIDGE CT APT 105
MADISON, WI 53717-2030
Phone number:
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