NPI 1821363557

Avila Integrative Medicine, INC.

Organisation Pain Medicine Physician Pueblo, CO

Practice location

Address: 3960 Ivywood Ln, Pueblo, CO 81005-2567
Phone: (719) 565-1276
Fax: (719) 565-2313

Authorised official

Name: Robert J Avila
Title: President
Phone: (719) 565-1276

Registered specialties (3)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 31499 (CO)

Other Pain Medicine providers in Colorado →

Chiropractor

Chiropractic Providers Taxonomy 111N00000X Licence 4867 (CO)

Other Chiropractor providers in Colorado →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 7987 (CO)

Other Physical Therapist providers in Colorado →

Registry record

NPI: 1821363557
Entity type: Organization
NPI issued: 13 Mar 2012
Record last updated: 5 Feb 2016

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.