Individual
MRS. PATRICE R YATES
Active
Individual
MRS. PATRICE R YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01050757A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110185492
RR MEDICARE
IN
05
—
200225030A
—
IN
Enumeration date
10/20/2005
Last updated
08/02/2018
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