Individual
HENRY C YEAGER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
746 JEFFERSON AVE, SUITE 201, SCRANTON, PA 18510-1624
(570) 347-8391
(570) 347-8396
Mailing address
PO BOX 407, WAVERLY, PA 18471-0407
(570) 563-1012
(570) 563-2993
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MD016373E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001188663002
—
PA
Enumeration date
02/12/2007
Last updated
07/08/2007
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