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RONILO DIAZ MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1770699068

Individual Registrant:
 RONILO  DIAZ MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
529 CAPP HARLAN RD  TOMPKINSVILLE, KY 42167-1808 US
Tel: 270-487-9231  Fax: --

Contact information for business:
PO BOX 84  JAMESTOWN, KY 42629-0084 US
Tel: 270-343-2350  Fax: --

Registration Information:
NPI: 1770699068
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
KY16587
N207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
TN39323

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
64165871KY05




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