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Individual
CHARLES S YEAGER
Active
Individual
CHARLES S YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002211L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005878970003
—
PA
01
—
01331201
CAPITAL BLUE CROSS
PA
01
—
1517151
GATEWAY
PA
01
—
154506
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/22/2005
Last updated
03/23/2017
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