Dominador Yti Lao is a Surgery in Pineville, . Dominador Yti Lao practices all healthcare services and medical treatments related to Surgery. The NPI Number for Dominador Yti Lao is 1366550279. The last update date is 2011-02-14.
Dominador Yti Lao's current location address is Po Box 1274, Pineville, . You can contact this provider via phone number 3047329045 and fax number 3047329055. The mailing address for Dominador Yti Lao is Po Box 1274, Pineville, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominador Yti Lao |
|---|---|
| Address | Po Box 1274, Pineville, |
| Phone Number | 3047329045 |
| Fax Number | 3047329055 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366550279 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2011-02-14 |
Provider Mailing Address Detail
| Address | Po Box 1274 |
|---|---|
| City | Pineville |
| State | (WV) |
| Post Code | 248741274 |
| Phone Number | 3047329045 |
| Fax Number | 3047329055 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 12700 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1220372 | WV | CHA HEALTH | |
| 1720313 | WV | BLUE CROSS/BLUE SHIELD | |
| 128304001 | WV | -- |
Post Comment/ Review Below
What is the Dominador Yti Lao's 1366550279?
The Dominador Yti Lao's NPI (National Provider Identifier) Number is 1366550279. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dominador Yti Lao is physically located?
The Dominador Yti Lao is physically situated at the following address: Po Box 1274, Pineville, WV, 248741274.
What is Dominador Yti Lao's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dominador Yti Lao is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Dominador Yti Lao receive the assignment of its 1366550279 from the Centers for Medicare & Medicaid Services?
The Dominador Yti Lao was issued its 1366550279 by the Centers for Medicare & Medicaid Services on 2006-08-29.
When was the information regarding Dominador Yti Lao, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dominador Yti Lao, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-02-14.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA