Individual
ANDREW LAWRENCE YALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1250 E MARSHALL ST, SURGERY, RICHMOND, VA 23298-5051
(804) 828-4620
(804) 827-0527
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110840199
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00356346
RAILROAD MEDICARE
VA
Enumeration date
05/05/2006
Last updated
09/05/2007
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