Healthcare Provider Details

I. General information

NPI: 1962513309
Provider Name (Legal Business Name): RAYMOND V. YOST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1746 COLE BLVD STE 150
LAKEWOOD CO
80401-3208
US

IV. Provider business mailing address

5455 LANDMARK PL UNIT 806
GREENWOOD VILLAGE CO
80111-1955
US

V. Phone/Fax

Practice location:
  • Phone: 303-914-8800
  • Fax: 303-716-3777
Mailing address:
  • Phone: 303-694-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number18913
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: