Doctor Name: | YAN JI |
NPI Number: | 1003122706 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 23 N Cedar Lake Dr W Apt305 Columbia, MO - 652037192 |
Business Phone Number: | 5739994300 |
Business Fax Number: | |
Mailing Address: | 23 N Cedar Lake Dr W, Apt305 COLUMBIA |
State: | MO |
Postal Code: | 652037192 |
Phone Number: | 5739994300 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2010 |
NPI Last Update Date: | 08/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174MM1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | Medical Research |
Taxonomy Definition: |