Individual
ALEXANDER YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-0645
Mailing address
3615 N. ROOSEVELT ST., KINGMAN, AZ 86409
(928) 460-0606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10237
AZ
Other
Enumeration date
05/12/2017
Last updated
06/20/2017
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