Page 16 - APPENDICES for Peter Yesawich
P. 16

,7<D:
                ,-./
012345678319/4
3-./
:3.67831;=>/48/1./?6781@;
61A
?/B8/C;61
E
F/7C34G
01234567831
               D:61 H/716
I/A8.64/
J938./
KLI,D,NO
M
LPQRSMRTU
               D
                                                                               M4G../>781@
F/C
D678/17;I/A8.81/

H/716
I/A8.64/
D4/58/4
KDD,O
M
LZZTPMR[[

               D
               F/7C34G
N767V;


01
F/7C3H7
H@/
Y3.V;017/416:
DJD


01
F/7C34G../>781@
F/C
D678/17;I/A8.81/

H/716
I/A8.64/
D4/58/4
D:V;
KDD,O
M
LZZTPMT\[
               ,-.N>/.86:7WXD678/143B8A/4
?3:/D:61F/7C34G
N767V;
               ,-./
N767V;N>/.86:7WXD678/143B8A/4
?3:/D:61F/7C34G
N767V;/
N767V;H7
H@/
Y3.V;017/416:
DJD


01
F/7C34G
































                                   
                        	
       
  !   "  #$  % %!   "  #&'#& ! 
        ! ()   "  
	
    ! 
  *
 +  $





























                                                                                      Dr. Piloto is listed in
                                                                                      this plan's network,
                                                                                      but you should verify
                                                                                      that with his office
                                                                                      prior to enrolling in
                                                                                      this plan.
   11   12   13   14   15   16   17   18   19   20   21