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Individual

DAVID R YEAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
210 E GRAY ST STE 900, LOUISVILLE, KY 40202-3905
(502) 584-7525
(502) 584-6851
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5337

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA871
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000352158
ANTHEM
KY
01
000000628581
ANTHEM- NORTON LEATHERMAN SPINE CENTER
KY
01
000028412Z
HUMANA- NORTON LEATHERMAN SPINE CENTER
KY
01
2447386000
PASSPORT ADVANTAGE
KY
01
3728034000
PASSPORT ADVANTAGE- NORTON LEATHERMAN SPINE CENTER
KY
01
50006104
PASSPORT
KY
01
50024958
PASSPORT- NORTON LEATHERMAN SPINE CENTER
KY
05
95004982
KY
01
N302048
HARMONY
01
P00180962
RAILROAD MEDICARE
KY
01
P00825792
RAILROAD MEDICARE
KY
Enumeration date
05/20/2006
Last updated
03/12/2018
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