Individual
NICHOLAS J YOKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W FORT STREET, BOISE VA MEDICAL CENTER, BOISE, ID 83702-3501
(208) 422-1000
Mailing address
PO BOX 9496, BOISE, ID 83707-3496
(218) 850-7177
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M11949
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6402120
—
SD
05
—
714065
—
ND
Enumeration date
06/30/2005
Last updated
08/02/2013
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