NPI 1013223718

Rosalio L Diaz

Practitioner Private Vehicle Roberts, ID

Practice location

Address: 644 North 2865 East, Roberts, ID 83444-0108
Phone: (208) 228-2435
Mailing address: PO Box 108, Roberts, ID 83444-0108

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence XA151417I (ID)

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Registry record

NPI: 1013223718
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2010
Record last updated: 19 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.