Alexandra Diaz, MD
Family Medicine in Centerville, OH. Individual provider (NPI-1).
NPI number1124656111
StatusActive
Last updated in NPPESSep 13, 2023
Details
- NPI
- 1124656111
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Diaz
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2020
- Certification date
- Sep 13, 2023
- Last updated
- Sep 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 35.148793 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2350 Miami Valley Dr Ste 530Centerville, OH 45459-4782
Phone 937-435-3546
Mailing address
1000 Meadowrun RdEnglewood, OH 45322-2204
Phone 347-793-2485
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