Individual
MR. JOSE DAVID AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD452926
PA
2084N0400X
Neurology Physician
Primary
MD452926
PA
2084N0600X
Clinical Neurophysiology Physician
MD452926
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT197704
PA
Other
Enumeration date
07/03/2010
Last updated
08/30/2020
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