Individual
DR. ANTONIO DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 S DOBSON RD, CHANDLER, AZ 85224-5605
(480) 917-1648
Mailing address
9804 S 46TH LN, LAVEEN, AZ 85339-7769
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34459
AZ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
34459
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
971962
—
AZ
01
—
AZ0736120
BC/BS
AZ
Enumeration date
06/15/2006
Last updated
04/22/2010
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