MEDICARE: DR. ANDREW M YEAGER MD

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	207RH0003X	Hematology & Oncology Physician	33451	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750440996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW M YEAGER MD

Provider Business Mailing Address
First Line	:	7385 STONEY HILL LN
Second Line	:
City	:	THE PLAINS
State	:	VA
Zip	:	20198-2234
Country	:	US
Telephone Number	:	520-343-4995
Fax Number	:

Provider Business Practice Location Address
First Line	:	7385 STONEY HILL LN
Second Line	:
City	:	THE PLAINS
State	:	VA
Zip	:	20198-2234
Country	:	US
Telephone Number	:	520-343-4995
Fax Number	:

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

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	07/14/2023

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