Healthcare Provider Details

I. General information

NPI: 1952393456
Provider Name (Legal Business Name): ROBERT MILLER YOHO D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ROBERT 'TIM' MILLER YOHO D.P.M.

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 GRAND AVE
DES MOINES IA
50312-4104
US

IV. Provider business mailing address

3200 GRAND AVE
DES MOINES IA
50312-4104
US

V. Phone/Fax

Practice location:
  • Phone: 515-271-1731
  • Fax: 515-271-1692
Mailing address:
  • Phone: 515-271-1731
  • Fax: 515-271-1692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0593
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: