Jose R Villavicencio, MD

NPI #1265483580 in Logan, Ohio

Provider Information

NPI Number: 1265483580
Entity Type: Individual
Name: Jose R Villavicencio, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: May 12, 2006
Last Updated: May 29, 2008

Practice Location

Address: 601 ST RT 664
City: Logan
State: Ohio
ZIP Code: 43138
Phone: (740) 380-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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