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
5000 INDUSTRIAL BLVD, ALIQUIPPA, PA 15001-4874
(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
03/10/2010
Last updated
03/10/2010
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