Individual
JACK YADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
3552 S CAMPBELL AVE, SPRINGFIELD, MO 65807-5183
(410) 786-4432
(417) 864-4327
Mailing address
615 N MAIN ST, O FALLON, IL 62269-3704
(618) 624-4471
(618) 215-2169
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2019007351
MO
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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