Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD437021 | PA |
NPI | 1184893679 |
---|---|
Provider Name | David Yuan |
First Address | Verona, PA 15147-3211 |
Second Address | Verona, PA 15147-3257 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 25/03/2021 |