Provider Demographics
NPI:1003195447
Name:YODER, JAMES E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:YODER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:935 PENNSYLVANIA AVE NW
Mailing Address - Street 2:HCPU/RM 6344
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20535-0001
Mailing Address - Country:US
Mailing Address - Phone:202-324-4976
Mailing Address - Fax:202-324-2923
Practice Address - Street 1:935 PENNSYLVANIA AVE NW
Practice Address - Street 2:HCPU/RM 6344
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20535-0001
Practice Address - Country:US
Practice Address - Phone:202-324-4976
Practice Address - Fax:202-324-2923
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD478872083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine