Individual
DR. SAMUEL JEFFREY YAKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
605 SHARON RD, BEAVER, PA 15009-1919
(724) 773-4502
Mailing address
605 SHARON RD, BEAVER, PA 15009-1919
(724) 773-4502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT012899
PA
207RC0000X
Cardiovascular Disease Physician
34.012199
OH
207RC0000X
Cardiovascular Disease Physician
Primary
OS016211
PA
Other
Enumeration date
07/07/2009
Last updated
10/17/2018
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