MEDICARE: HOWARD HUNTER YOST 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	2084P0800X	Psychiatry Physician	MD60460307	WA

General Provider Information

NPI Number	:	1972599181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD HUNTER YOST M.D.

Provider Business Mailing Address
First Line	:	155 CADILLAC DR STE 110
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-5539
Country	:	US
Telephone Number	:	916-669-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	5520 N WATERFIELD DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85750
Country	:	US
Telephone Number	:	520-247-0701
Fax Number	:

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	08/01/2022

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