Provider Demographics
NPI:1376170878
Name:YAZMAN, ANDREW CROMPTON (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CROMPTON
Last Name:YAZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:ANDREW
Other - Middle Name:PAUL
Other - Last Name:CROMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 31001-4110
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91110-4110
Mailing Address - Country:US
Mailing Address - Phone:406-883-5680
Mailing Address - Fax:406-883-8910
Practice Address - Street 1:6 13TH AVE E
Practice Address - Street 2:
Practice Address - City:POLSON
Practice Address - State:MT
Practice Address - Zip Code:59860-5315
Practice Address - Country:US
Practice Address - Phone:406-883-5680
Practice Address - Fax:406-883-8910
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAML.61058332208000000X
MTMED-PHYS-LIC-147385208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics