Basic Information
| Provider Information | |||||||||
| NPI: | 1962417741 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YAMASHIRO | ||||||||
| FirstName: | VERNON | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4532 S MATHEWS WAY | ||||||||
| Address2: | |||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841244026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8017434700 | ||||||||
| FaxNumber: | 8017434705 | ||||||||
| Practice Location | |||||||||
| Address1: | 1151 E 3900 S | ||||||||
| Address2: | SUITE B-390 | ||||||||
| City: | SALT LAKE CITY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841241216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8017434700 | ||||||||
| FaxNumber: | 8017434705 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2006 | ||||||||
| LastUpdateDate: | 03/20/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 94-273748-1205 | UT | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.