Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GUSTAVO A DIAZ, PA-C
ActivePhysician Assistant · SIOUX FALLS, SD
Registration Details
- NPI Number
- 1730123977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2006 (19.868055315677 yrs)
- Last Updated
- Jul 8, 2025
- Licenses
-
PA03831 (TX)PA9102123 (FL)5560 (SC)1074 (SD)
Practice Information
- Address
-
911 E. 20TH ST.STE. 300SIOUX FALLS, SD, 571051045Browse SD providers · Browse ZIP 57105
- Phone
- 6053221300
- Fax
- 6053221301
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SIOUX FALLS, SD
| Name | Credential | NPI |
|---|---|---|
| RICHARD E. ZIESKE | PA | 1629072475 |
| BONNIE L. BLEEKER | PA-C | 1083618631 |
| SHELLEY R. SMEDSRUD | PA | 1972509446 |
| KATHIE JOY DAAK | PA | 1386640225 |
| JENNIFER L HOUWMAN | PA-C | 1720084569 |
| TAMMI K STANGOHR | PA-C | 1164428918 |
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.