Individual
DR. G PAUL YAZDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3023 N BALLAS RD, SUITE 675D, SAINT LOUIS, MO 63131-2330
(314) 996-7777
(314) 996-4073
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(314) 996-7777
(314) 996-4073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R2P61
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204675409
—
MO
Enumeration date
06/18/2006
Last updated
03/31/2021
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