Individual
ROBERT A YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11511 CANTERWOOD BLVD NW, STE 205, GIG HARBOR, WA 98332-5818
(253) 530-2663
(253) 530-2675
Mailing address
11511 CANTERWOOD BLVD NW, STE 205, GIG HARBOR, WA 98332-5818
(253) 530-2663
(253) 530-2675
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00021802
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201041
STATE L&I
WA
05
—
8235798
—
WA
01
—
8906805
STATE CRIME VICTIMS
WA
01
—
P00258933
MEDICARE RAILROAD
WA
Enumeration date
08/05/2006
Last updated
11/16/2010
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