Individual
PAUL T YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
904 N OVERLOOK CIR, PAYSON, AZ 85541-6601
(928) 363-1173
(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
10/04/2006
Last updated
02/27/2022
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