Organization
ORTHOPEDIC SURGEONS OF KOKOMO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DEAN YODER M.D. (OWNER)
(765) 868-0313
Entity
Organization
Contact information
Practice address
2226 W ALTO RD, KOKOMO, IN 46902-4840
(765) 868-0313
(765) 454-0554
Mailing address
2226 W ALTO RD, KOKOMO, IN 46902-4840
(765) 868-0313
(765) 454-0554
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300049637
—
IN
Enumeration date
01/18/2007
Last updated
09/24/2024
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