Individual
TRACY LYNNETTE YARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
42 FONTENAY CIR, LITTLE ROCK, AR 72223-9568
(855) 424-4240
Mailing address
PO BOX 241373, LITTLE ROCK, AR 72223-0007
(855) 424-4240
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
310141
LA
207U00000X
Nuclear Medicine Physician
51564
AZ
207U00000X
Nuclear Medicine Physician
C55859
CA
207U00000X
Nuclear Medicine Physician
Primary
E5304
AR
207U00000X
Nuclear Medicine Physician
ME100797
FL
207U00000X
Nuclear Medicine Physician
P7872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166002001
—
AR
01
—
P00405164
RAILROAD MEDICARE
AR
Enumeration date
01/30/2007
Last updated
03/18/2021
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