Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 52645 | AZ |
Y | 208600000X | Surgeon | 52645 | AZ |
N | 208200000X | Surgeon | R4487 | AR |
N | 208600000X | Surgeon | R4487 | AR |
NPI | 1013924752 |
---|---|
Provider Name | James C Yuen |
First Address | Gilbert, AZ 85234-2168 |
Second Address | Gilbert, AZ 85234-2168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 29/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020033261 | RAILROAD MEDICARE (01) | AR |
123368001 | (05) | AR |
240002834 | RAILROAD MEDICARE (01) | AR |
F57955 | (02) | AR |