Provider Demographics
NPI:1538422092
Name:HOEGER, YUMIKO EMOTO (MD)
Entity type:Individual
Prefix:
First Name:YUMIKO
Middle Name:EMOTO
Last Name:HOEGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YUMIKO
Other - Middle Name:
Other - Last Name:EMOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6120 W BELL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-3780
Mailing Address - Country:US
Mailing Address - Phone:602-255-7570
Mailing Address - Fax:602-255-7580
Practice Address - Street 1:6120 W BELL RD STE 110
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3780
Practice Address - Country:US
Practice Address - Phone:602-255-7570
Practice Address - Fax:602-255-7580
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-9540207Q00000X
IAMD-41496207Q00000X
CAA132743207Q00000X
AZ53098207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine