Suzanne M Yandow
Pediatric Orthopaedic Surgeon
100 Mario Capecchi Dr 4550
Salt Lake City
, Utah 84113-1103
Suzanne M Yandow
Pediatric Orthopaedic Surgeon
100 Mario Capecchi Dr 4550
Salt Lake City
, Utah 84113-1103
(801) 213-3900
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Suzanne M Yandow
- Po Box 413026
- Salt Lake City, UT
- Zip : 84141-3026
- Phone : (801) 213-3900
Second Address
- Suzanne M Yandow
- 100 Mario Capecchi Dr 4550
- Salt Lake City, UT
- Zip : 84113-1103
- Phone : (801) 662-5600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | M8442 | TX |
National Provider Identifier
| NPI | 1932385671 |
|---|---|
| Provider Name | Suzanne M Yandow |
| First Address | Salt Lake City, UT 84141-3026 |
| Second Address | Salt Lake City, UT 84113-1103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2008 |
| Last Update Date | 26/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2000101-01 | (05) | TX |
| 2000101-02 | MEDICAID CSHCN - AUSTIN (01) | TX |
| 2000101-03 | (05) | TX |
| 2000101-04 | MEDICAID CSHCN - ROT (01) | TX |
| 200010105 | (05) | TX |
| 8CS727 | BCBS (01) | TX |
| 8V1731 | BCBSTX INDIVIDUAL NUMBER (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.