Individual
JOSEPH RANDALL YATES
Active
Individual
JOSEPH RANDALL YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R50192
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177926001
—
AR
05
—
200246350A
—
OK
01
—
770193801
ARKANSAS BREASTCARE
AR
Enumeration date
04/13/2009
Last updated
08/04/2018
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