Individual
JONATHAN YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
830 KEMPSVILLE RD, NORFOLK, VA 23502-3920
(757) 621-6700
Mailing address
8 LYDNEY CIR, CHESAPEAKE, VA 23320-2432
(540) 908-6912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005786
VA
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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