ILIYA VITALIEVICH PANFILENKO

BURLINGTON, VT
NPI1902658008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-02
Last Update Date2024-04-02
Business Address
ILIYA VITALIEVICH PANFILENKO MD
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number: 802-847-2345
Mailing Address
ILIYA VITALIEVICH PANFILENKO MD
111 COLCHESTER AVE
BURLINGTON, VT 05401-1473
Phone number: 480-686-4726
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