Individual
JOSEPH RANDALL YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703
(918) 664-9892
(918) 664-2521
Mailing address
PO BOX 1867, FAYETTEVILLE, AR 72702-1867
(918) 641-2551
(918) 392-2941
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us