Individual
NANCY M YOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
227 E CHESTNUT EXPY, SPRINGFIELD, MO 65802
(417) 864-1658
Mailing address
227 E CHESTNUT EXPY, SPRINGFIELD, MO 65802-3847
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01064977
IN
207R00000X
Internal Medicine Physician
Primary
2019038997
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01064977
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200926090
—
IN
01
—
P00887156
RAILROAD MEDICARE
IN
Enumeration date
04/08/2008
Last updated
11/19/2019
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