Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | G82025 | CA |
NPI | 1033273453 |
---|---|
Provider Name | Dr. John Edward Yount |
First Address | Salem, OR 97304-2305 |
Second Address | Salem, OR 97304-2305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G82025 | (02) | CA |