Individual
SVYATOSLAV PUYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6000 N ALLEN RD, PEORIA, IL 61614-3294
(309) 691-1400
Mailing address
6000 N ALLEN RD, PEORIA, IL 61614-3294
(309) 691-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009674
IL
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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