PHILIP R YACKO

MONTGOMERY, AL
NPI1528710530
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-150716)
Enumeration Date2022-01-20
Last Update Date2022-01-20
Business Address
PHILIP R YACKO CRNA
2105 E SOUTH BLVD
MONTGOMERY, AL 36116-2409
Phone number: 770-643-5619
Mailing Address
PHILIP R YACKO CRNA
2655 NORTHWINDS PKWY
ALPHARETTA, GA 30009-2280
Phone number: 770-643-5619
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