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Organization

J STEVEN YANEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN STEVEN YANEY O.D. (OWNER)
(479) 785-0010
Entity
Organization

Contact information

Practice address
4300 ROGERS AVE, GREENPOINTE CENTER SUITE 46, FORT SMITH, AR 72903-3152
(479) 785-0010
(479) 782-8478
Mailing address
4300 ROGERS AVE, GREENPOINTE CENTER SUITE 46, FORT SMITH, AR 72903-3152
(479) 785-0010
(479) 782-8478

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2324
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105893722
AR
05
200034470A
OK
Enumeration date
07/25/2008
Last updated
07/28/2008
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