Individual
MR. JOSE AVILEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2181 E MCDOWELL RD, PHOENIX, AZ 85006-2430
(602) 381-4670
(602) 381-4668
Mailing address
2702 E FLOWER ST, PHOENIX, AZ 85016-7461
(602) 381-6000
(602) 381-6019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3440333
AZ
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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