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Dr. Edgar Vincent Tabila, DO
Sports Medicine (Family Medicine) Physician in Warren, Michigan
NPI 1841528346

Edgar Vincent Tabila is a Sports Medicine (Family Medicine) Physician based in Pasadena, MI and is specialized in Sports Medicine. Edgar Vincent Tabila practices in Warren, MI and has the professional credentials of DO. The NPI Number for Edgar Vincent Tabila is 1841528346 and holds a License No. (Michigan).

The current practice location address for Edgar Vincent Tabila is 27450 Schoenherr Rd, Warren, MI and can be reached out via phone at 586-582-7550. You can also correspond with Edgar Vincent Tabila through the mailing address at PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL, PASADENA, CA - 91188-0001 (mailing address contact number: 877-608-0044).

Location: 27450 Schoenherr Rd, Warren, MI, 91188-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841528346
Provider Name
Edgar Vincent Tabila
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
27450 Schoenherr Rd, Warren, MI, 91188-0001
Phone Number
586-582-7550
Fax Number
Provider Enumeration Date
11/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27450 Schoenherr Rd
City
Warren
State
Michigan
Zip
48088-6683
Phone Number
586-582-7550
Fax Number
person
Provider Business Mailing Address Details
Address
Phr Group Provider Enrollment Unit 3Rd Fl
City
Pasadena
State
California
Zip
91188-0001
Phone Number
877-608-0044
Fax Number
877-514-0903
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Sports Medicine
Taxonomy
207QS0010X
License No.
20A18381 (California)
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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