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Individual

STEPHAN M YOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
2281 STATE ROUTE CC, WEST PLAINS, MO 65775-5116
(417) 274-1358

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2004003095
MO
363AM0700X
Medical Physician Assistant
2004003095
MO
363AM0700X
Medical Physician Assistant
Primary
P-T0726
AR

Other

Enumeration date
12/13/2005
Last updated
03/17/2018
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