Eduardo Avila is a Surgery in Blackfoot, Idaho. Eduardo Avila practices all healthcare services and medical treatments related to Surgery. The NPI Number for Eduardo Avila is 1760430367. The last update date is 2008-03-28.
Eduardo Avila's current location address is 98 Poplar St, Blackfoot, Idaho. You can contact this provider via phone number 2087823993 and fax number 2087823994. The mailing address for Eduardo Avila is 98 Poplar St, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eduardo Avila |
|---|---|
| Address | 98 Poplar St, Blackfoot, Idaho |
| Phone Number | 2087823993 |
| Fax Number | 2087823994 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760430367 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2008-03-28 |
Provider Mailing Address Detail
| Address | 98 Poplar St |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832211758 |
| Phone Number | 2087823993 |
| Fax Number | 2087823994 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | M-9388 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75390 | ID | BLUE CROSS OLD | |
| 10151099 | ID | REGENCE BLUE SHEILD | |
| HB400 | ID | BLUE CROSS | |
| 243412 | ID | ALTIUS OLD | |
| 313067 | ID | ALTIUS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Eduardo Avila by the Centers for Medicare & Medicaid Services?
The Eduardo Avila has been assigned the NPI (National Provider Identifier) 1760430367 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Eduardo Avila?
The Eduardo Avila is situated at 98 Poplar St, in the city of Blackfoot, state of ID, with the zip code 832211758.
What is Eduardo Avila's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eduardo Avila's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did the Eduardo Avila receive the assignment of its 1760430367 from the Centers for Medicare & Medicaid Services?
The Eduardo Avila was issued its 1760430367 by the Centers for Medicare & Medicaid Services on 2006-05-05.
When was the information pertaining to Eduardo Avila most recently updated or revised?
The details related to Eduardo Avila, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-28.
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