Individual
DR. TAWNY E AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1355 MARINERS DR, WARSAW, IN 46582-7145
(574) 267-6778
(574) 267-3134
Mailing address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 458-3830
(260) 458-3831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004742A
IN
207Q00000X
Family Medicine Physician
2012011166
MO
Other
Enumeration date
06/08/2012
Last updated
02/05/2026
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