Doctor Name: | DR. JAY RYAN DIAZ-PARLET |
NPI Number: | 1417011875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101246556 |
Business Practice Address: | 1550 Boyson Rd Hiawatha, IA - 522332362 |
Business Phone Number: | 3197437300 |
Business Fax Number: | |
Mailing Address: | 825 Rider St, IOWA CITY |
State: | IA |
Postal Code: | 522462430 |
Phone Number: | 7574167651 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101246556 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |