Individual
DR. ERIC YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1599 JONES STREET, GRAND FORKS AFB, ND 58205
(701) 747-5547
Mailing address
1599 JONES STREET, GRAND FORKS AFB, ND 58205
(701) 747-5547
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102206254
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174975866
NPI
—
Enumeration date
07/06/2016
Last updated
09/08/2022
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