Individual
ARDRY LANCE YARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 S VIRGINIA AVE, ATOKA, OK 74525-3246
(580) 889-4746
(580) 889-4735
Mailing address
1504 S VIRGINIA AVE, ATOKA, OK 74525-3246
(580) 889-4746
(580) 889-4735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22046
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100130780A
—
OK
Enumeration date
07/13/2006
Last updated
04/02/2015
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