Individual
DR. JEFFREY DEAN YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2226 W ALTO RD, KOKOMO, IN 46902-4840
(765) 868-0313
(765) 454-0554
Mailing address
2226 W ALTO RD, KOKOMO, IN 46902-4840
(765) 868-0313
(765) 454-0554
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01050170
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000274552
BLUE CROSS
—
05
—
300050062
—
IN
01
—
4848090001
DMERC
—
Enumeration date
11/14/2006
Last updated
09/24/2024
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