Basic Information
| Provider Information | |||||||||
| NPI: | 1972683548 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOST | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 307 N HOSPITAL DR STE 3 | ||||||||
| Address2: | |||||||||
| City: | GIRARD | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667432047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6207248809 | ||||||||
| FaxNumber: | 6207248890 | ||||||||
| Practice Location | |||||||||
| Address1: | 307 N HOSPITAL DR STE 3 | ||||||||
| Address2: | |||||||||
| City: | GIRARD | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667432047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6207248809 | ||||||||
| FaxNumber: | 6207248890 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2006 | ||||||||
| LastUpdateDate: | 07/02/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0005X | 04-20111 | KS | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
No ID Information.