Diaz, Wanda I.

Diaz, Wanda I. is an individual health care provider with primary practice located at 1902 E Gore Blvd , Lawton OK 73501-6102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Diaz, Wanda I. can be contacted via phone (580) 357-4200.

Contact Information

Primary practice address
1902 E Gore Blvd Lawton OK 73501-6102
Phone: (580) 357-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 038217 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 27633 Oklahoma

Profile Details

NPI number 1801090329
LBN Legal business name Diaz, Wanda I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Oct 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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