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Contact Information

AVILA INTEGRATIVE MEDICINE, INC.
3960 IVYWOOD LN
PUEBLO, CO81005-2567
 Phone: 719-565-1276
 Fax: 719-565-2313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Chiropractor

111N00000X 35 Chiropractic
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AVILA INTEGRATIVE MEDICINE, INC.

NPI Number 1821363557
LBN Legal business name AVILA INTEGRATIVE MEDICINE, INC.
Authorized official ROBERT AVILA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2012
Last updated 02/05/2016 - About 10 years ago
Identifiers
CO License # 31499
CO License # 4867
CO License # 7987
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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