| Bedford Regional Urology | |
|
202 Memorial Dr Ste 2 Everett PA 15537-7057 | |
| (814) 623-0552 | |
| (814) 623-0752 |
| Full Name | Bedford Regional Urology |
|---|---|
| Speciality | Clinic/center |
| Location | 202 Memorial Dr Ste 2, Everett, Pennsylvania |
| Authorized Official Name and Position | Stephen Jerome Yanoshak (D.O) |
| Authorized Official Contact | 8146230552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bedford Regional Urology 202 Memorial Dr Ste 2 Everett PA 15537-7057 Ph: (814) 623-0552 | Bedford Regional Urology 202 Memorial Dr Ste 2 Everett PA 15537-7057 Ph: (814) 623-0552 |
| NPI Number | 1598171092 |
|---|---|
| Provider Enumeration Date | 07/03/2014 |
| Last Update Date | 07/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598171092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 05007645L (Pennsylvania) | Primary |
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