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Individual

DEMIAN MATTHEW YAKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4140 CENTENNIAL HILLS BLVD STE A, CASPER, WY 82609
(307) 265-7205
(307) 235-6262
Mailing address
4140 CENTENNIAL HILLS BLVD STE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8089A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00857917
RAILROAD MEDICARE
WY
Enumeration date
06/18/2006
Last updated
06/18/2018
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