person
Luis Enrique Diez-avila, PA-C
Medical Physician Assistant in Oklahoma City, Oklahoma
NPI 1427740075

Luis Enrique Diez-avila is a Medical Physician Assistant based in Oklahoma City, OK and is specialized in Medical. Luis Enrique Diez-avila practices in Oklahoma City, OK and has the professional credentials of PA-C. The NPI Number for Luis Enrique Diez-avila is 1427740075 and holds a License No. 5020 (Oklahoma).

The current practice location address for Luis Enrique Diez-avila is 4021 S Walker Ave Ste 201, Oklahoma City, OK and can be reached out via phone at 405-632-6688.

Location: 4021 S Walker Ave Ste 201, Oklahoma City, OK, 73107-1818
person
Provider Profile Details
NPI Number
1427740075
Provider Name
Luis Enrique Diez-avila
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4021 S Walker Ave Ste 201, Oklahoma City, OK, 73107-1818
Phone Number
405-632-6688
Fax Number
Provider Enumeration Date
05/23/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4021 S Walker Ave Ste 201
City
State
Zip
73109-6977
Phone Number
405-632-6688
Fax Number
person
Provider Business Mailing Address Details
Address
4021 S Walker Ave Ste 201
City
State
Zip
73109-6977
Phone Number
405-632-6688
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5020 (Oklahoma)
Definition
Definition to come...
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