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Organization

YK2YK IOM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YADRANKO DUCIC M.D. (PRESIDENT)
(817) 908-8124
Entity
Organization

Contact information

Practice address
1700 GLADE ROAD, COLLEYVILLE, TX 76034
(817) 908-8124
(817) 885-7339
Mailing address
1700 GLADE ROAD, COLLEYVILLE, TX 76034
(817) 908-8124
(817) 885-7339

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K3716
TX

Other

Enumeration date
02/13/2014
Last updated
02/13/2014
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