IndividualActive
Eduardo Avila, MD
NPI 1760430367 · Surgery Physician · Blackfoot, ID
Provider details
- NPI number
- 1760430367
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-9388 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
98 Poplar St
Blackfoot, ID 83221-1758
Phone: (208) 782-3993
Fax: (208) 782-3994
Approximate (ZIP-level) locationGet directions
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2008-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.