Doctor Name: | DR. ROGER AVILES |
NPI Number: | 1053359976 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35082235A |
Business Practice Address: | 1515 Saint Francis Ave Shakopee, MN - 553793387 |
Business Phone Number: | 9529931880 |
Business Fax Number: | |
Mailing Address: | 5328 Xerxes Ave S, MINNEAPOLIS |
State: | MN |
Postal Code: | 554102449 |
Phone Number: | 6123082319 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 04/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 35082235A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |