Individual
DR. YVONNE M PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35629 HIGHWAY 72 BLDG II, SALEM, MO 65560-7217
(573) 729-6112
(573) 729-4035
Mailing address
PO BOX 69, SALEM, MO 65560-0069
(573) 729-6112
(573) 729-4035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
102233
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207705104
—
MO
Enumeration date
11/02/2005
Last updated
09/08/2010
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