Provider Demographics
NPI:1023156718
Name:SAFFRON, YVONNE M (PHD)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:M
Last Name:SAFFRON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 E FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-6120
Mailing Address - Country:US
Mailing Address - Phone:602-683-2400
Mailing Address - Fax:602-683-2402
Practice Address - Street 1:2929 E FILLMORE ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-6159
Practice Address - Country:US
Practice Address - Phone:602-683-2400
Practice Address - Fax:602-683-2402
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ786361Medicaid