Provider Demographics
NPI:1730372251
Name:YANES, JAMES JUDE (MD,)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JUDE
Last Name:YANES
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9040 JACKSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-0001
Mailing Address - Country:US
Mailing Address - Phone:253-968-2462
Mailing Address - Fax:
Practice Address - Street 1:10390 N LA CANADA DR STE 110
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85737-7273
Practice Address - Country:US
Practice Address - Phone:520-420-2110
Practice Address - Fax:520-420-2111
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ390200000X207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine