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Contact Information

CLEMENTE C DIAZ, MD
75 AVENUE B
RICHWOOD, WV26261-1236
 Phone: 304-846-2573
 Fax: 304-846-9562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CLEMENTE C DIAZ · (Male)

NPI Number 1295727675
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 07/09/2009 - About 7 years ago
Sole proprietor 1 No
Identifiers
WV License # 09181
WV Medicaid 0127946000
WV Medicare (Unspecified) D17264501
WV Medicare UPIN D49136
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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