MEDICARE: DANIEL J. YOO M.D.

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
1	207X00000X	Orthopaedic Surgery Physician	29278	SC
2	207X00000X	Orthopaedic Surgery Physician	37185	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	59264	OTHER	IA	WELLMARK BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053490268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL J. YOO M.D.

Provider Business Mailing Address
First Line	:	1601 NW 114TH ST
Second Line	:	SUITE 142
City	:	DES MOINES
State	:	IA
Zip	:	50325-7007
Country	:	US
Telephone Number	:	515-222-3151
Fax Number	:	515-226-2561

Provider Business Practice Location Address
First Line	:	1601 NW 114TH ST
Second Line	:	SUITE 142
City	:	DES MOINES
State	:	IA
Zip	:	50325-7007
Country	:	US
Telephone Number	:	515-222-3151
Fax Number	:	515-226-2561

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	05/27/2008

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Directions to “ DANIEL J. YOO M.D.” Practice Location

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