Individual
DR. RICARDO A AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2445 E WILCOX DR, SIERRA VISTA, AZ 85635-2842
(520) 458-8131
(520) 458-0422
Mailing address
2445 E WILCOX DR, SIERRA VISTA, AZ 85635-2842
(520) 458-8131
(520) 458-0422
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32367
AZ
207W00000X
Ophthalmology Physician
7754A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205837010
—
WY
05
—
874158
—
AZ
Enumeration date
08/02/2005
Last updated
04/07/2008
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