Male or Other

Philip M. Yam M.D.

Psychiatry Physician in Ponte Vedra Beach, FL(View on Map)

Full Name

Philip M Yam M.D.

NPI Number

1851686554

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/10/2011

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

300438

Contact
Information

Purpose

Mailing
Location

Address

203 FORT WADE RD UNIT 260
203 FORT WADE RD UNIT 260

City

Ponte Vedra Beach
Ponte Vedra Beach

State

FL
FL

Postal Code

32081-5159
32081-5159

Country

US
US

Telephone Number

(904) 659-8697
(904) 659-8697

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/07/2023

Provider Address

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