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Individual
DR. YURI FEDOROVICH
Active
Individual
DR. YURI FEDOROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2022018307
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2022018307
MO
208M00000X
Hospitalist Physician
Primary
2022018307
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112348
—
MO
Enumeration date
05/29/2019
Last updated
09/02/2025
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