| Doctor Name: | DAVID W. YACAVONE |
| NPI Number: | 1063478816 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 0102037083 |
| Business Practice Address: | Veterans Administration Medical Ctr 100 Emancipation Drive Hampton, VA - 236670001 |
| Business Phone Number: | 7577229220 |
| Business Fax Number: | |
| Mailing Address: | 948 Calypso Ln, VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 234546001 |
| Phone Number: | 7574963644 |
| Fax Number: | 7574967525 |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 11/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0102037083 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |