Avitas LLC

NPI #1043042054 in New Concord, Ohio

Provider Information

NPI Number: 1043042054
Entity Type: Organization
Organization Name: Avitas LLC
Primary Specialty: General Practice
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 172 S FRIENDSHIP DR STE A
City: New Concord
State: Ohio
ZIP Code: 43762-9641
Phone: (740) 214-8998

Authorized Official

Name: DENNIS EAGLEEYE
Title: PRESIDENT
Phone: (740) 214-8998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X
General Practice	208D00000X	Primary

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