Individual
DR. DESIDERIO AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15920 S. 48TH STREET, SUITE 100, PHOENIX, AZ 85048-1003
(480) 961-2323
(480) 961-2325
Mailing address
PO BOX 60691, CITY OF INDUSTRY, CA 91716-0691
(480) 245-6288
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
42814
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517238
—
AZ
Enumeration date
01/21/2010
Last updated
08/12/2025
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