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NPI Code Detail

MEDICARE: MRS. MICHELLE ANN DIAZ MD

MEDICARE: MRS. MICHELLE ANN DIAZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMD2009-0200NM

General Provider Information

NPI Number : 1417098369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE ANN DIAZ MD
Provider Business Mailing Address
First Line : 1618 E PINE ST
Second Line : CASSIE HEALTH CENTER FOR WOMEN
City : SILVER CITY
State : NM
Zip : 88061-7155
Country : US
Telephone Number : 575-388-1561
Fax Number : 575-388-9952
Provider Business Practice Location Address
First Line : 1618 E PINE ST
Second Line :
City : SILVER CITY
State : NM
Zip : 88061-7155
Country : US
Telephone Number : 575-388-1561
Fax Number : 575-388-9952
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 05/03/2021

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Directions to “ MRS. MICHELLE ANN DIAZ MD” Practice Location

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