Svyatoslav Puyat

NPI #1194402636 in Peoria, Illinois

Provider Information

NPI Number: 1194402636
Entity Type: Individual
Name: Svyatoslav Puyat
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jun 28, 2023
Last Updated: Jun 28, 2023

Practice Location

Address: 6000 N ALLEN RD
City: Peoria
State: Illinois
ZIP Code: 61614-3294
Phone: (309) 691-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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