Avila Integrative Medicine, Inc.

NPI #1821363557 in Pueblo, Colorado

Provider Information

NPI Number: 1821363557
Entity Type: Organization
Organization Name: Avila Integrative Medicine, Inc.
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Mar 13, 2012
Last Updated: Feb 5, 2016

Practice Location

Address: 3960 IVYWOOD LN
City: Pueblo
State: Colorado
ZIP Code: 81005-2567
Phone: (719) 565-1276

Authorized Official

Name: DR. ROBERT J AVILA, D.C., CCST, CCCN
Title: PRESIDENT
Phone: (719) 565-1276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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