MEDICARE: YURIY ALAYEV PA-C

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	363A00000X	Physician Assistant	3457	AZ

General Provider Information

NPI Number	:	1609989144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YURIY ALAYEV PA-C

Provider Business Mailing Address
First Line	:	3126 W ANDERSON DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-1813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3229 E GREENWAY RD
Second Line	:	STE. 102
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4508
Country	:	US
Telephone Number	:	480-776-1588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	07/08/2007

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Directions to “ YURIY ALAYEV PA-C” Practice Location

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