Whalio Doctors

NPI 1043042054

Avitas LLC

Organisation General Practice Physician New Concord, OH

Practice location

Address
172 S Friendship Dr STE a, New Concord, OH 43762-9641
Phone
(740) 214-8998
Mailing address
PO Box 894, Cambridge, OH 43725-0894

Authorised official

Name
Dennis Eagleeye
Title
President
Phone
(740) 214-8998

Registered specialties (3)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X
Interventional Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Registry record

NPI
1043042054
Entity type
Organization
NPI issued
19 Aug 2024
Record last updated
19 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.