Individual
JOHN ANDREW ILIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
313 JADE ST, ROCK SPRINGS, WY 82901-6758
(307) 389-0059
Mailing address
313 JADE ST, ROCK SPRINGS, WY 82901-6758
(307) 389-0059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3818A
WY
Other
Enumeration date
09/06/2006
Last updated
06/28/2023
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