Ricardo L Valle Diaz, MD | |
601 Keyser Ave, Natchitoches, LA 71457-6020 | |
(318) 214-5773 | |
Not Available |
Full Name | Ricardo L Valle Diaz |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 601 Keyser Ave, Natchitoches, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588829675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2014-01700 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
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Ricardo L Valle Diaz, MD Po Box 2475, Natchitoches, LA 71457-2475 Ph: (318) 214-4200 | Ricardo L Valle Diaz, MD 601 Keyser Ave, Natchitoches, LA 71457-6020 Ph: (318) 214-5773 |
Mr. Steven Michael Kautz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1029 Keyser Avenue, Natchitoches, LA 71457 Phone: 318-238-6001 Fax: 318-238-6002 | |
Dr. John Pettey Sandifer, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 213 South Drive, Natchitoches, LA 71457 Phone: 318-352-6120 Fax: 318-352-6061 | |
Dr. Theodore Foster Jordan Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Keyser Ave, Natchitoches, LA 71457 Phone: 318-214-5770 | |
Justin Nilsson Duke, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 Keyser Ave, Natchitoches, LA 71457 Phone: 318-238-4511 Fax: 318-238-4513 |