Provider Demographics
NPI:1336451137
Name:YOST, JOHN MONTGOMERY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MONTGOMERY
Last Name:YOST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:450 BROADWAY ST
Mailing Address - Street 2:STANFORD DEPT OF DERMATOLOGY, PAVILION C, 2ND FLOOR
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-3132
Mailing Address - Country:US
Mailing Address - Phone:650-721-7190
Mailing Address - Fax:
Practice Address - Street 1:450 BROADWAY ST
Practice Address - Street 2:STANFORD DEPT OF DERMATOLOGY, PAVILION C, 2ND FLOOR
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-3132
Practice Address - Country:US
Practice Address - Phone:650-721-7190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA131385207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology