Individual
DR. JUAN ANTONIO AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10200 NE 132ND ST, KIRKLAND, WA 98034-2831
(504) 236-8154
Mailing address
10200 NE 132ND ST, KIRKLAND, WA 98034-2831
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
FA2156621
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2007
Last updated
08/08/2014
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