Organization
BEDFORD REGIONAL UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JEROME YANOSHAK D.O (D.O)
(814) 623-0552
Entity
Organization
Contact information
Practice address
202 MEMORIAL DR STE 2, EVERETT, PA 15537-7057
(814) 623-0552
(814) 623-0752
Mailing address
202 MEMORIAL DR STE 2, EVERETT, PA 15537-7057
(814) 623-0552
(814) 623-0752
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
05007645L
PA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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