Organization
DR. HENRY G YAVOREK MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY GEORGE YAVOREK MD (OWNER)
(570) 374-9339
Entity
Organization
Contact information
Practice address
ONE COMMERCE AVE, SELINSGROVE, PA 17870
(570) 374-9339
(570) 374-7436
Mailing address
ONE COMMERCE AVE, SELINSGROVE, PA 17870
(570) 374-9339
(570) 374-7436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD036651E
PA
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012565490007
—
PA
Enumeration date
09/25/2006
Last updated
10/01/2020
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