SIMON KOTLYAR

DURANGO, CO
NPI1629273941
Professional NameSIMON KOTLYAR
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CO  52012)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: NY  244490-1)
207P00000X Emergency Medicine
(Licence: CT  044635)
Enumeration Date2007-06-18
Last Update Date2014-03-31
Business Address
-- SIMON KOTLYAR
1010 THREE SPRINGS BLVD
DURANGO, CO 81301-8296
Phone number: 303-306-7783
Mailing Address
-- SIMON KOTLYAR
PO BOX 17752
DENVER, CO 80217-0752
Phone number: 303-306-7783