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Individual
DR. JONG HYEON YOO
Active
Individual
DR. JONG HYEON YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081721
MI
207R00000X
Internal Medicine Physician
Primary
S1021
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028545
—
OR
01
—
838334042
BCBS-ROSEBURG
OR
01
—
838366041
BCBS-MCMINNVILLE
OR
01
—
844477038
BCBS-GRANTS PASS
OR
01
—
858463043
BCBS-MEDFORD
OR
01
—
858464043
BCBS-SPRINGFIELD
OR
01
—
P00424198
RAIL ROAD MEDICARE
OR
Enumeration date
08/12/2006
Last updated
03/18/2023
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