| NPI | 1043042054 |
|---|---|
| Doing Business As | AVITAS |
| Entity Type | Organization |
| Authorized Contact | DENNIS EAGLEEYE President 740-214-8998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |