Individual
DR. PAUL T YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
531 LEWIS AVE, LA JUNTA, CO 81050-1738
(719) 384-8827
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20089
CO
208D00000X
General Practice Physician
Primary
20089
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01200898
—
CO
Enumeration date
05/10/2006
Last updated
02/14/2020
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