Organization
PAUL T YODER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL YODER MD (OWNER)
(928) 363-1173
Entity
Organization
Contact information
Practice address
904 N OVERLOOK CIR, PAYSON, AZ 85541-6601
(928) 363-1173
Mailing address
904 N OVERLOOK CIR, PAYSON, AZ 85541-6601
(928) 363-1173
(928) 363-1173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31473
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0735560
BLUE CROSS
AZ
Enumeration date
12/07/2007
Last updated
02/27/2022
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