Dr HAILEY AVILA is a female medical professional, specializing in Sports Medicine. She graduated in 2014 from Western Univ Of Health Sciences Col Of Dental Med, Pomona Ca.
COTTON ONEIL CLINIC REVOCABLE TRUST
2660 SW 3RD ST
TOPEKA
KS
666060000
Tel: 7853570301
| Npi | 1942629266 |
| Pac Id | 2769784958 |
| Professional Enrollment Id | I20180808003569 |
| Last Name | AVILA |
| First Name | HAILEY |
| Middle Name | |
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| Gender | F |
| Credential | |
| Medical School Name | WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA |
| Graduation Year | 2014 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialty 1 | FAMILY MEDICINE |
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| Secondary Specialty 4 | |
| All Secondary Specialties | FAMILY MEDICINE |
| Organization Legal Name | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Group Practice Pac Id | 5496659195 |
| Number Of Group Practice Members | 504 |
| Line 1 Street Address | 2660 SW 3RD ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TOPEKA |
| State | KS |
| Zip Code | 666060000 |
| Phone Number | 7853570301 |
| Hospital Affiliation Ccn 1 | 170086 |
| Hospital Affiliation Lbn 1 | STORMONT VAIL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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