Most Relevant Information
Provider Data
| NPI Number: | 1003392440 |
| Provider Name: | CORTNIE N YODER |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 10002556A |
Most Important Dates
| Enumeration Date: | 07/18/2018 |
| Last Updated: | 04/09/2019 |
Provider Practice Location
1402 E COUNTY LINE RD
INDIANAPOLIS
IN
462270963
Practice Location Phone/Fax
| Phone: | 3178877805 |
| Fax: |
Provider Mailing Location
6626 E 75TH ST STE 500
INDIANAPOLIS
IN
462502890
Provider Mailing Phone/Fax
| Phone: | 3176217588 |
| Fax: | 3179572749 |