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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