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Individual

DR. JOHN ANDREW YODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9220 NE BARRY RD, KANSAS CITY, MO 64157-1209
(816) 781-1061
(816) 781-1389
Mailing address
7930 N FOREST AVE, KANSAS CITY, MO 64118-1524
(816) 651-6077
(816) 781-1389

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1132
NE
152W00000X
Optometrist
1778
CO
152W00000X
Optometrist
Primary
2005022668
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025306800
NE
05
317375905
MO
Enumeration date
08/06/2006
Last updated
02/11/2022
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