| NPI | 1598751208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DALE YAKISH President 724-775-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QS0010X Family Medicine Sports Medicine | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2015-06-30 |