Organization
ASSOCIATION OF SPECIALTY PHYSICIANS, INC.
Active
Organization
ASSOCIATION OF SPECIALTY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DALE YAKISH M.D. (PRESIDENT)
(724) 775-4242
Entity
Organization
Contact information
Practice address
1677 ROUTE 65, ELLWOOD CITY, PA 16117-5217
(724) 775-4242
(724) 775-4960
Mailing address
1030 BEANER HOLLOW RD, BEAVER, PA 15009-9723
(724) 775-4242
(724) 775-4960
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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