Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 11797287-1205 | UT |
N | 207RR0500X | Rheumatology | 13612 | NH |
N | 207RR0500X | Rheumatology | 46348 | CO |
N | 207RR0500X | Rheumatology | RT1248 | NH |
NPI | 1073622288 |
---|---|
Provider Name | Dr. Wenshu Yu |
First Address | Provo, UT 84604-6636 |
Second Address | Provo, UT 84604-6636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 26/08/2020 |