Healthcare Provider Details

I. General information

NPI: 1942449632
Provider Name (Legal Business Name): FRANCISCO C YAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2009
Last Update Date: 02/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 FOREST LANE
SHARPSVILLE PA
16150-1724
US

IV. Provider business mailing address

975 FOREST LANE
SHARPSVILLE PA
16150-1724
US

V. Phone/Fax

Practice location:
  • Phone: 724-962-5226
  • Fax:
Mailing address:
  • Phone: 724-962-5226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberM.D.030193-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: