Individual provider · Type 1 NPI
Edgar Vincent Tabila, DO
Sports Medicine (Family Medicine) Physician · Warren, MI
Practice location
27450 Schoenherr Rd, Suite 400
Warren, MI 48088-6683
Mailing address
Phr Group Provider Enrollment Unit 3rd Fl, 393 E Walnut St
Pasadena, CA 91188-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | 20A18381 (CA) |
Sports Medicine (Family Medicine) Physician: 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, biomecha…
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About NPI 1841528346
Edgar Vincent Tabila, DO's National Provider Identifier is 1841528346, issued on Nov 23, 2009. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Warren, MI. The record was last updated on Dec 7, 2021.