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NPI Code Detail

MEDICARE: MARIO VIRGILIO DAVILA M.D.

MEDICARE: MARIO VIRGILIO DAVILA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician17830AL

General Provider Information

NPI Number : 1881687929
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO VIRGILIO DAVILA M.D.
Provider Business Mailing Address
First Line : PO BOX 18488
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35804-8488
Country : US
Telephone Number : 256-562-0399
Fax Number : 256-382-7689
Provider Business Practice Location Address
First Line : 751 PLEASANT ROW NW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35816-2537
Country : US
Telephone Number : 256-533-6311
Fax Number : 256-536-0801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 12/13/2018

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