NPI 1073005187

Luis Santiago Garcia Diaz, SAC

Practitioner Surgical Assistant Phoenix, AZ

Practice location

Address: 6901 E Chauncey Ln APT 1028, Phoenix, AZ 85054-5104
Phone: (214) 227-2457
Fax: (214) 764-0880
Mailing address: PO Box 2550, Rowlett, TX 75030-2550

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 16-166

Other Specialist/Technologist, Other providers in Arizona →

Registry record

NPI: 1073005187
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2018
Record last updated: 15 Feb 2022

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.