Individual
XAVIER VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 MEDICAL CENTER DR STE 3500, HUNTINGTON, WV 25701
(304) 691-1300
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-8722
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K8856
TX
2080P0203X
Pediatric Critical Care Medicine Physician
K8856
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
28403
WV
2080P0206X
Pediatric Gastroenterology Physician
K8856
TX
Other
Enumeration date
08/09/2006
Last updated
12/20/2021
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