Individual
TERESA A YOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
918 YOUNGSTOWN WARREN RD, STE C, NILES, OH 44446-4623
(330) 652-3100
(330) 652-1231
Mailing address
918 YOUNGSTOWN WARREN RD, STE C, NILES, OH 44446-4623
(330) 652-3100
(330) 652-1231
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
86298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2581406
—
OH
Enumeration date
11/28/2005
Last updated
07/08/2007
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