| NPI | 1821363557 |
|---|---|
| Doing Business As | AVILA INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBERT J AVILA President 719-565-1276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CO 31499) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 7987) |
| 111N00000X Chiropractor (Licence: CO 4867) | |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2016-02-05 |