DOUGLAS W AVILLA

FORT RILEY, KS
NPI1437230919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
-- DOUGLAS W AVILLA PA-C
600 CAISSON HILL ROAD ATTN:MCXX-CLD-QM (CREDENETIALS)
FORT RILEY, KS 66442-5037
Phone number: 785-239-5181
Mailing Address
-- DOUGLAS W AVILLA PA-C
600 CAISSON HILL ROAD ATTN:MCXX-CLD-QM (CREDENETIALS)
FORT RILEY, KS 66442-5037
Phone number: 785-239-5181
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