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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTONIO R DIAZ JR., M.D.

Active

ANTONIO R DIAZ JR., M.D. is a Psychiatry healthcare provider located in LOGAN, West Virginia. NPI 1053339135 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · LOGAN, WV

Registration Details

NPI Number
1053339135
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (20.095073942091 yrs)
Last Updated
Aug 19, 2021
License
16814 (WV)

Practice Information

Address
174 LMAH CENTER RD
LOGAN, WV, 256014058
Browse WV providers · Browse ZIP 25601
Phone
3047927130
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in LOGAN, WV

Name Credential NPI
DR. JOHN DAVID JUSTICE M.D. 1679599906
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.