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NPI Verification

National Provider Identifier: 1467504175

Divina Gracia Averilla, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

6355 S BUFFALO DR FL 3

LAS VEGAS, NV 891132133

Phone: 702-216-3346

NPI Enumeration Date

January 16, 2007

NPI Number

1467504175

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry