Individual provider · Type 1 NPI

Ilia Yamboliev

Electroneurodiagnostic Specialist/Technologist · Carson City, NV

NPI number 1487965182 Active

Practice location

1600 Medical Pkwy
Carson City, NV 89703-4625

Fax (775) 445-8368

Mailing address

214 Centerview Dr, Suite 100
Brentwood, TN 37027-5274

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1487965182

Ilia Yamboliev's National Provider Identifier is 1487965182, issued on Jun 28, 2010. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Carson City, NV. The record was last updated on Oct 27, 2011.