MEDICARE: JOSEPH P. YUT, M.D., F.A.C.S., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1578898110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH P. YUT, M.D., F.A.C.S., INC.

Provider Business Mailing Address
First Line	:	201 DUEBER AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44706-1164
Country	:	US
Telephone Number	:	330-454-9152
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 DUEBER AVE SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44706-1164
Country	:	US
Telephone Number	:	330-454-9152
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH PETER YUT
Credential	:	M.D.
Telephone Number	:	330-454-9152

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	10/15/2009

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