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Individual

ALFONSO AVILA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A15338
CA

Other

Enumeration date
04/06/2015
Last updated
05/08/2024
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