Healthcare Provider Details

I. General information

NPI: 1770515116
Provider Name (Legal Business Name): RONALD YEP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 SWIFT BLVD
RICHLAND WA
99352-3514
US

IV. Provider business mailing address

1622 E SOUTH RIDGE DR
SPOKANE WA
99223-6705
US

V. Phone/Fax

Practice location:
  • Phone: 509-946-4611
  • Fax:
Mailing address:
  • Phone: 509-448-5006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD00025223
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: