Individual
YURY FOMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S DOBSON ROAD, MESA, AZ 85202
(480) 412-6788
(480) 412-6848
Mailing address
1400 S DOBSON ROAD, ATTN BMG HOSPITALIST TEAM/AMANDA GUMP, MESA, AZ 85202
(480) 412-6788
(480) 412-6848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
77312
AZ
208000000X
Pediatrics Physician
77312
AZ
208M00000X
Hospitalist Physician
Primary
77312
AZ
Other
Enumeration date
04/01/2021
Last updated
10/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us