Avilla, Douglas W

Avilla, Douglas W is an individual health care provider with primary practice located at 600 Caisson Hill Road Attn:Mcxx-Cld-Qm (Credenetials), Fort Riley KS 66442-5037. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Avilla, Douglas W can be contacted via phone (785) 239-5181.

Contact Information

Primary practice address
600 Caisson Hill Road Attn:Mcxx-Cld-Qm (Credenetials) Fort Riley KS 66442-5037
Phone: (785) 239-5181
Fax: (785) 239-7364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1437230919
LBN Legal business name Avilla, Douglas W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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