Individual
ILYA IGOLNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4740 PEARL PKWY STE 200, BOULDER, CO 80301-3080
(303) 449-2730
(303) 449-5821
Mailing address
4740 PEARL PKWY STE 200, BOULDER, CO 80301-3080
(303) 449-2730
(303) 449-5821
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD458726
PA
Other
Enumeration date
04/19/2014
Last updated
04/29/2021
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