Individual
MATTHEW JOHN YORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-7500
(717) 228-1642
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 270-7500
(717) 228-1642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN523636L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN523636L
PA
Other
Enumeration date
09/10/2018
Last updated
11/09/2022
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