Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 04-22313 | KS |
Y | 207W00000X | Ophthalmologist | R2F29 | MO |
NPI | 1033155338 |
---|---|
Provider Name | Dr. John A Yuhas |
First Address | Joplin, MO 64804-1651 |
Second Address | Joplin, MO 64804-1651 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 17/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100207860B | (05) | KS |
100207860C | (05) | KS |
100834 | BC/BS (01) | KS |
202156519 | (05) | MO |
23463 | BC/BS (01) | MO |
A10284 | (02) |