Individual
DR. YORELL MANON-MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 SIOUX POINT ROAD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 SIOUX POINT ROAD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
9559
SD
2086S0105X
Surgery of the Hand (Surgery) Physician
MD-42747
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100112280
—
KY
01
—
P00946088
RAILROAD MEDICARE
KY
Enumeration date
05/10/2007
Last updated
08/27/2015
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