Individual
MR. JULIO ANTONIO AVILA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN VASCULAR I
Contact information
Practice address
3200 CARLISLE BLVD NE, SUITE:116, ALBUQUERQUE, NM 87110-1600
(505) 796-5059
Mailing address
3200 CARLISLE BLVD NE, SUITE:116, ALBUQUERQUE, NM 87110-1600
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
NM
246Z00000X
Other Specialist/Technologist
Primary
—
NM
Other
Enumeration date
11/19/2009
Last updated
05/02/2012
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