Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 35078566 | OH |
NPI | 1023004272 |
---|---|
Provider Name | Dr. Youngsook Yoon |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43623-3091 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2005 |
Last Update Date | 27/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2189840 | (05) | OH |
D38115 | (02) |