Individual
JEFFREY ARTHUR YOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
940 CUMBERLAND ST, LEBANON, PA 17042
(717) 272-4421
(717) 270-0705
Mailing address
940 CUMBERLAND ST, LEBANON, PA 17042
(717) 272-4421
(717) 270-0705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005097L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001052914000
—
PA
01
—
02611100
BLUE CROSS
PA
01
—
154878
BLUE SHIELD
PA
Enumeration date
05/19/2006
Last updated
08/03/2010
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