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General NPI Number Information
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NPI Number | 1982887279
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Entity Type | Organization
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Legal Business Name | DR FREDRICK L YOST, LLC
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 1380 LUSITANA ST STE 614
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City | HONOLULU
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State | HI
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Zip | 96813-2442
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Country | US
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Telephone | 808-535-9678
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Fax | 808-423-1109
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Provider Business Mailing Address
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Address Line | 1508 LEHIA ST
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City | HONOLULU
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State | HI
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Zip | 96818-1829
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Country | US
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Telephone | 808-421-9678
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Fax | 808-423-1109
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Authorized Official
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Title or Position | PRESIDENT
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Name | FREDRICK L YOST
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Credential | M.D.
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Telephone | 808-421-9678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD-8791
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License Number State | HI
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