Individual
EDWIN AVALLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
03823
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
03823
KY
208M00000X
Hospitalist Physician
Primary
03823
KY
Other
Enumeration date
05/03/2012
Last updated
12/04/2023
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