Individual
MR. DAVID J YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2200 E PARRISH AVE, BLDG D SUITE 100, OWENSBORO, KY 42303-1449
(270) 688-1770
(270) 688-1781
Mailing address
2200 E PARRISH AVE, BLDG D SUITE 100, OWENSBORO, KY 42303-1449
(270) 688-1770
(270) 688-1781
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
10000605A
IN
363AS0400X
Surgical Physician Assistant
Primary
PA834
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000318604
ANTHEM BLUE CROSS
—
Enumeration date
06/15/2005
Last updated
07/08/2013
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