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Individual

DR. ALAN KEITH YODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OPTOMETRIST

Contact information

Practice address
107 N MAIN ST, BLUFFTON, OH 45817-1245
(419) 358-6076
(419) 358-7736
Mailing address
PO BOX 123, BLUFFTON, OH 45817-0123
(419) 358-6076
(419) 358-7736

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2809/1196
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180008276
RAILROAD MEDICARE
OH
05
9712172
OH
01
CC0091
GROUP RAILROAD MEDICARE
OH
Enumeration date
05/11/2006
Last updated
01/21/2013
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