Individual
ANIBAL AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 SW 44TH ST, OKLAHOMA CITY, OK 73109-3601
(405) 634-4934
Mailing address
1121 SW 44TH ST, OKLAHOMA CITY, OK 73109-3601
(405) 634-4934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18774
OK
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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