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Individual
RUSSELL YOON
Active
Individual
RUSSELL YOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD059630L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016909810
—
PA
01
—
0016909810007
PROMISE
PA
01
—
0739879000
KEYSTONE
PA
01
—
30002765
KEYSTONE MERCY
PA
01
—
977404
BS
PA
Enumeration date
06/30/2006
Last updated
04/25/2016
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