Provider Demographics
NPI:1851319271
Name:YOKOYAMA, WAYNE M (MD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:M
Last Name:YOKOYAMA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8045
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-286-2635
Mailing Address - Fax:314-286-2338
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:DIV IM RHEUMATOLOGY, STE 5C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-286-2635
Practice Address - Fax:314-286-2338
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-11-12
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Provider Licenses
StateLicense IDTaxonomies
MO109969207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208215905Medicaid
ILENROLLEDMedicaid
MO002810183Medicaid
IL$$$$$$$$$Medicaid