Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 092679 | OH |
Y | 208600000X | Surgeon | 092679 | OH |
NPI | 1013156728 |
---|---|
Provider Name | Joseph Froilan Yurich |
First Address | Pittsburgh, PA 15264-5252 |
Second Address | East Liverpool, OH 43920-2405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2009 |
Last Update Date | 28/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2928050 | (05) | OH |