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NPI Code Detail

MEDICARE: STEPHAN M YOST PA-C

MEDICARE: STEPHAN M YOST PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician2004003095MO
2363AM0700XMedical Physician Assistant2004003095MO
3363AM0700XMedical Physician AssistantP-T0726AR

General Provider Information

NPI Number : 1063497931
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHAN M YOST PA-C
Provider Business Mailing Address
First Line : 2281 STATE ROUTE CC
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-5116
Country : US
Telephone Number : 417-274-1358
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E DOWNING ST
Second Line :
City : TAHLEQUAH
State : OK
Zip : 74464-3324
Country : US
Telephone Number : 918-456-0641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 03/17/2018

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Directions to “ STEPHAN M YOST PA-C” Practice Location

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