Dr YAZAN A ABDALLA is a male medical professional, specializing in Gastroenterology. He graduated in 2005.
ST ANTHONY'S PHYSICIAN ORGANIZATION
10012 KENNERLY RD
SUITE 404
SAINT LOUIS
MO
631282197
Tel: 3145435911
| Npi | 1033365358 |
| Pac Id | 4789854068 |
| Professional Enrollment Id | I20110823001022 |
| Last Name | ABDALLA |
| First Name | YAZAN |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | ST ANTHONY'S PHYSICIAN ORGANIZATION |
| Group Practice Pac Id | 4880588938 |
| Number Of Group Practice Members | 103 |
| Line 1 Street Address | 10012 KENNERLY RD |
| Line 2 Street Address | SUITE 404 |
| Marker Of Address Line 2 Suppression | |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 631282197 |
| Phone Number | 3145435911 |
| Hospital Affiliation Ccn 1 | 260077 |
| Hospital Affiliation Lbn 1 | ST ANTHONY'S MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 260020 |
| Hospital Affiliation Lbn 2 | MERCY HOSPITAL ST LOUIS |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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