Individual
SUZANNE YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 HIGH STREET, #370, DENVER, CO 80205-5504
(303) 839-6001
(303) 839-6033
Mailing address
1400 E CHURCH ST, MEDICAL STAFF OFFICE, SANTA MARIA, AR 93454
(805) 739-3114
(805) 739-3502
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
45805
CO
2086S0120X
Pediatric Surgery Physician
A69017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025570000
—
NE
05
—
1083836589
—
MT
05
—
1083836589
—
WI
05
—
1083836589
—
WY
05
—
69972770
—
CO
05
—
7721930
—
SD
Enumeration date
05/03/2007
Last updated
11/25/2020
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