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NPI Code Detail

MEDICARE: DR. YVONNE HSU MD

MEDICARE: DR. YVONNE HSU MD
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
1207V00000XObstetrics & Gynecology Physician4833347-1205UT
2207VG0400XGynecology Physician4833347-1205UT

General Provider Information

NPI Number : 1760495055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YVONNE HSU MD
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-408-7500
Fax Number :
Provider Business Practice Location Address
First Line : 324 E 10TH AVE STE 200
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-2869
Country : US
Telephone Number : 801-408-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/21/2022

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