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Individual

HEIDI J. YUTZLER-OVERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
721 SKIPPACK PIKE, SUITE 3, BLUE BELL, PA 19422-1700
(215) 793-0600
(215) 793-0759
Mailing address
PO BOX 789967, PHILADELPHIA, PA 19178-9967
(484) 622-7395
(484) 622-7399

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009299L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017470460001
PA
01
0174704602
AMERICHOICE (UHC MA PLAN)
PA
01
0294553000
AMERIHEALTH/INTERCOUNTY
PA
01
080139151
RRM
PA
01
1085098
KEYSTONE MERCY
PA
01
10939224
CAQH ID#
PA
01
124902
HIGHMARK BLUE SHIELD
PA
01
2120908
ALLIANCE/OPT CHC (MAMSI)
PA
01
2152221
AETNA HMO
PA
01
2972798
CIGNA HMP/PPO
PA
01
33022-OS009299L
HEALTH PARTNERS
PA
01
5809719
AETNA PPO
PA
01
9061935
PHCS
PA
Enumeration date
05/22/2006
Last updated
11/15/2018
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