Organization
ANIBAL AVILA MD PROFESSIONAL CORPORATION PC
Active
Organization
ANIBAL AVILA MD PROFESSIONAL CORPORATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIBAL AVILA MD (OWNER)
(405) 634-4934
Entity
Organization
Contact information
Practice address
1111 SW 44TH ST, OKLAHOMA CITY, OK 73109-3601
(405) 634-4934
(405) 634-4938
Mailing address
1111 SW 44TH ST, OKLAHOMA CITY, OK 73109-3601
(405) 634-4934
(405) 634-4938
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
18774
OK
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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