Organization
MARTHA F YEARSLEY M.D. PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA YEARSLEY M.D. (OWNER)
(812) 482-5700
Entity
Organization
Contact information
Practice address
1005 DORBETT ST, JASPER, IN 47546-2619
(812) 482-5700
(812) 481-1045
Mailing address
1005 DORBETT ST, JASPER, IN 47546-2619
(812) 482-5700
(812) 481-1045
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01042841A
IN
208000000X
Pediatrics Physician
01042841A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100414290B
—
IN
01
—
990007893
MEDICARE RAILROAD
IN
Enumeration date
10/14/2009
Last updated
03/07/2023
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