Organization
AVILA INTEGRATIVE MEDICINE, INC.
Active
Other names
Avila Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J AVILA D.C., CCST, CCCN (PRESIDENT)
(719) 565-1276
Entity
Organization
Contact information
Practice address
3960 IVYWOOD LN, PUEBLO, CO 81005-2567
(719) 565-1276
(719) 565-2313
Mailing address
3960 IVYWOOD LN, PUEBLO, CO 81005-2567
(719) 565-1276
(719) 565-2313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4867
CO
208VP0000X
Pain Medicine Physician
Primary
31499
CO
225100000X
Physical Therapist
7987
CO
Other
Enumeration date
03/13/2012
Last updated
02/05/2016
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