Individual
DR. JOHN M YALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9755 N 90TH ST, SUITE A205, SCOTTSDALE, AZ 85258-5046
(480) 614-2215
(480) 614-2218
Mailing address
3020 E CAMELBACK RD, SUITE 301, PHOENIX, AZ 85014-5095
(602) 264-9100
(602) 264-9101
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
24488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120390
GROUP MEDICARE NUMBER
AZ
01
—
317047
GROUP MEDICAID NUMBER
AZ
05
—
558562
—
AZ
Enumeration date
02/02/2006
Last updated
02/17/2017
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