Diaz, Carmelo O

Diaz, Carmelo O is an individual health care provider with primary practice located at 660 S 200 E Ste 250, Salt Lake City UT 84111-3835. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Diaz, Carmelo O can be contacted via phone (801) 359-2256.

Contact Information

Primary practice address
660 S 200 E Ste 250 Salt Lake City UT 84111-3835
Phone: (801) 359-2256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA57869 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9453799-1206 Utah

Profile Details

NPI number 1326420217
LBN Legal business name Diaz, Carmelo O
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2015
Last updated Sep 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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