Organization
ASSOCIATION OF SPECIALTY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DALE YAKIS MD (PRESIDENT)
(724) 775-4242
Entity
Organization
Contact information
Practice address
274 3RD ST, BEAVER, PA 15009-2333
(724) 775-2112
(724) 775-2131
Mailing address
274 3RD ST, BEAVER, PA 15009-2333
(724) 775-2112
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001581047
—
PA
Enumeration date
03/31/2016
Last updated
08/02/2016
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