Provider Demographics
NPI:1063711026
Name:YORDY, JOHN STUART (MD , PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:STUART
Last Name:YORDY
Suffix:
Gender:M
Credentials:MD , PHD
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Mailing Address - Street 1:2490 S WOODWORTH LOOP STE 150
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-7407
Mailing Address - Country:US
Mailing Address - Phone:907-745-2900
Mailing Address - Fax:907-745-2999
Practice Address - Street 1:2490 S WOODWORTH LOOP STE 150
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-7407
Practice Address - Country:US
Practice Address - Phone:907-745-2900
Practice Address - Fax:907-745-2999
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AKMEDS83732085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology