Provider Demographics
NPI:1053548081
Name:YORGASON, ANDREW CHAD (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHAD
Last Name:YORGASON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7126 W WINDROSE DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-9501
Mailing Address - Country:US
Mailing Address - Phone:602-614-3183
Mailing Address - Fax:623-393-2062
Practice Address - Street 1:5801 S WINTERSBURG RD
Practice Address - Street 2:
Practice Address - City:TONOPAH
Practice Address - State:AZ
Practice Address - Zip Code:85354-7529
Practice Address - Country:US
Practice Address - Phone:623-393-2636
Practice Address - Fax:623-393-2062
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2018-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ0057052083P0500X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine