Individual provider · Type 1 NPI

Carmelo O. Diaz, PA-C

Medical Physician Assistant · Salt Lake City, UT

NPI number 1326420217 Active

Practice location

660 S 200 E, Ste 250
Salt Lake City, UT 84111-3835

Call (801) 359-2256 Map

Mailing address

PO Box 10719
Bakersfield, CA 93389-0719

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA57869 (CA)
Medical Physician Assistant Primary 363AM0700X9453799-1206 (UT)

Medical Physician Assistant: Definition to come...

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About NPI 1326420217

Carmelo O. Diaz, PA-C's National Provider Identifier is 1326420217, issued on Jun 26, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 23, 2021.