Individual
GEORGE M YANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD, SUITE #250, PHOENIX, AZ 85013-4224
(602) 263-9345
(602) 263-0778
Mailing address
15137 N 102ND WAY, SCOTTSDALE, AZ 85255-8909
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32806
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5684293
AETNA
AZ
01
—
8822004
CIGNA
AZ
05
—
933186
—
AZ
01
—
AZ0783010
BLUE CROSS OF ARIZONA
AZ
01
—
P00287945
RAILROAD MEDICARE
AZ
Enumeration date
11/22/2005
Last updated
11/27/2007
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