Individual
YOURI LEON VATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6597
(717) 531-7790
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
LT000795
PA
207L00000X
Anesthesiology Physician
TR00039573
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0232105
L&I
WA
05
—
1033783000001
—
PA
05
—
1073692737
—
WA
01
—
251360
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
11/03/2006
Last updated
01/18/2018
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