Randall J Yetman in Independence - Plastic Surgery

Randall J Yetman - NPI 1124083985

Randall J Yetman is a Plastic Surgery in Independence, Ohio. Randall J Yetman practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Randall J Yetman is 1124083985. The last update date is 2008-02-01.

Randall J Yetman's current location address is 6000 W Creek Rd, Independence, Ohio. You can contact this provider via phone number 8002232273. The mailing address for Randall J Yetman is 6000 W Creek Rd, Independence, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall J Yetman
Address 6000 W Creek Rd, Independence, Ohio
Phone Number 8002232273
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124083985
Provider Enumeration Date 2006-04-17
Last Updated Date 2008-02-01

Provider Mailing Address Detail

Address 6000 W Creek Rd
City Independence
State Ohio (OH)
Post Code 441312139
Phone Number 8002232273
Fax Number

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 35048847Y
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
511815 OH --

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FAQs about Randall J Yetman

What is the unique 10-digit identifier code issued to Randall J Yetman by the Centers for Medicare & Medicaid Services?

The Randall J Yetman has been assigned the NPI (National Provider Identifier) 1124083985 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Randall J Yetman located?

The Randall J Yetman is located at 6000 W Creek Rd, Independence, OH 441312139.

What is Randall J Yetman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Randall J Yetman's area of specialization is Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208200000X.

On what date did the Randall J Yetman receive its 1124083985 assignment from the Centers for Medicare & Medicaid Services?

The Randall J Yetman was assigned its 1124083985 by the Centers for Medicare & Medicaid Services on 2006-04-17.

As of what date were the details related to Randall J Yetman most recently updated or revised?

The information pertaining to Randall J Yetman, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-01.

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