Individual
MR. DALE RAYMOND YOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
300 S NEVADA AVE, MONTROSE, CO 81401-4273
(970) 249-7751
(970) 249-5029
Mailing address
300 S NEVADA AVE, MONTROSE, CO 81401-4273
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
87981
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07879810
—
CO
01
—
841554989003
ROCKY MOUNTAIN
CO
01
—
RN87981
STATE LICENSE
CO
01
—
Y07598
BLUE CROSS BLUE SHEILD
CO
Enumeration date
10/12/2006
Last updated
08/16/2017
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