Ivette T. Diaz, P.A.

NPI #1972314003 in Phoenix, Arizona

Provider Information

NPI Number: 1972314003
Entity Type: Individual
Name: Ivette T. Diaz, P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jan 17, 2025
Last Updated: Jan 17, 2025

Practice Location

Address: 2242 W WETHERSFIELD RD
City: Phoenix
State: Arizona
ZIP Code: 85029-2713
Phone: (623) 806-2831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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