Individual
DWIGHT ALLEN YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 UNIVERSITY BLVD S, MOBILE, AL 36609-2960
(251) 660-9393
(251) 662-0372
Mailing address
1605 UNIVERSITY BLVD S, MOBILE, AL 36609-2960
(251) 660-9393
(251) 662-0372
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22182
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03374772
—
MS
01
—
51517605
BCBS OF AL
AL
Enumeration date
12/12/2006
Last updated
07/09/2007
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