Individual
TRAVIS YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
REBEL DRIVE, STUDENT HEALTH CENTER, UNIVERSITY, MS 38677
(662) 915-7274
Mailing address
701 QUIET VALLEY CV, OXFORD, MS 38655-8430
(662) 234-1881
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9830
MS
Other
Enumeration date
05/31/2006
Last updated
07/24/2008
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