Provider Demographics
NPI:1396787305
Name:YUN, THOMAS W (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:YUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US EMBASSY
Mailing Address - Street 2:BOX RMO
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:US EMBASSY
Practice Address - Street 2:BOX RMO
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96507
Practice Address - Country:US
Practice Address - Phone:656-736-0879
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10382207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine