Provider Demographics
NPI:1659505584
Name:YODER, MARK TOY (PA)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:TOY
Last Name:YODER
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Gender:M
Credentials:PA
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Mailing Address - Street 1:652 S MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 420
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7049
Mailing Address - Country:US
Mailing Address - Phone:435-251-6800
Mailing Address - Fax:435-251-6801
Practice Address - Street 1:652 S MEDICAL CENTER DR
Practice Address - Street 2:SUITE 420
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7049
Practice Address - Country:US
Practice Address - Phone:435-251-6800
Practice Address - Fax:435-251-6801
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2015-04-14
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Provider Licenses
StateLicense IDTaxonomies
UT56075468002363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant