Search › Missouri › 207V00000X

Yasuo Ishida, M.D

NPI 1811973944 · on the registry since 2005 · sole proprietor

Practice

Address
102 Progress Pkwy # A
Sullivan, MO 63080
Phone
(573) 468-6011
Fax
(573) 468-7868

Registry record

Primary taxonomy
207V00000X
207V00000X
Also registered as
207Q00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri