Organization
PHILIP D WILEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP DAVID WILEY MD (PRESIDENT)
(970) 247-2920
Entity
Organization
Contact information
Practice address
1165 S COMINO DEL RIO # 200, DURANGO, CO 81303-6824
(970) 247-2920
(970) 247-2923
Mailing address
1165 S COMINO DEL RIO # 200, DURANGO, CO 81303-6824
(970) 247-2920
(970) 247-2923
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35193
CO
Other
Enumeration date
08/06/2007
Last updated
08/31/2007
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