MEDICARE: VICTOR P YAPUNCICH M.D.

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	207Q00000X	Family Medicine Physician	6392A	WY

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	:	1881664191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR P YAPUNCICH M.D.

Provider Business Mailing Address
First Line	:	1898 FORT RD
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-8320
Country	:	US
Telephone Number	:	307-672-3473
Fax Number	:

Provider Business Practice Location Address
First Line	:	1898 FORT RD
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-8320
Country	:	US
Telephone Number	:	307-672-3473
Fax Number	:

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	08/16/2011

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