Antonio R Diaz Jr Md | |
5960 Route 60 East Suite 2 Barboursville WV 25504 | |
(304) 757-5877 | |
(304) 757-5878 |
Full Name | Antonio R Diaz Jr Md |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 5960 Route 60 East, Barboursville, West Virginia |
Authorized Official Name and Position | Antonio R Diaz (PRESIDENT) |
Authorized Official Contact | 3047575877 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Antonio R Diaz Jr Md Po Box 907 Barboursville WV 25504 Ph: (304) 757-5877 | Antonio R Diaz Jr Md 5960 Route 60 East Suite 2 Barboursville WV 25504 Ph: (304) 757-5877 |
NPI Number | 1881762276 |
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Provider Enumeration Date | 12/01/2006 |
Last Update Date | 03/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881762276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 16814 (West Virginia) | Primary |
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