Provider Demographics
NPI:1366508954
Name:YOST AND YOST PEDIATRICS
Entity Type:Organization
Organization Name:YOST AND YOST PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GENTRY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:YOST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:208-233-7337
Mailing Address - Street 1:950 HOSPITAL WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-2789
Mailing Address - Country:US
Mailing Address - Phone:208-233-7337
Mailing Address - Fax:208-235-1839
Practice Address - Street 1:950 HOSPITAL WAY
Practice Address - Street 2:SUITE A
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-2789
Practice Address - Country:US
Practice Address - Phone:208-233-7337
Practice Address - Fax:208-235-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty