Organization
DR FREDRICK L YOST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK L YOST M.D. (PRESIDENT)
(808) 421-9678
Entity
Organization
Contact information
Practice address
1380 LUSITANA ST STE 614, HONOLULU, HI 96813-2442
(808) 535-9678
(808) 423-1109
Mailing address
1508 LEHIA ST, HONOLULU, HI 96818-1829
(808) 421-9678
(808) 423-1109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-8791
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0218150
HMSA
HI
05
—
25296601
—
HI
Enumeration date
12/10/2007
Last updated
08/05/2013
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