Individual
DR. PHILIP DAVID WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 S CAMINO DEL RIO, STE 200, DURANGO, CO 81303-6824
(970) 247-2920
(970) 247-2923
Mailing address
1165 S CAMINO DEL RIO, STE 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01351931
—
CO
05
—
Q5374
—
NM
Enumeration date
04/27/2006
Last updated
08/30/2007
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