Individual
DR. IRMA MAY AVILA FERNANDEZ DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 WHITESPORT DR SW, SUITE 203, HUNTSVILLE, AL 35801-6454
(256) 213-7425
(256) 213-9950
Mailing address
333 WHITESPORT DR SW, SUITE 203, HUNTSVILLE, AL 35801-6454
(256) 213-7425
(256) 213-9950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18151
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18151
STATE LICENSE NUMBER
AL
Enumeration date
05/23/2007
Last updated
07/28/2007
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