Individual
EDWARD DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4181 FALLON ST, BOZEMAN, MT 59718-6475
(406) 586-1737
Mailing address
4181 FALLON ST, BOZEMAN, MT 59718-6475
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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