Organization
DARDANELLE EMERGENCY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBY F YATES MD (PRESIDENT)
(386) 274-7800
Entity
Organization
Contact information
Practice address
200 N 3RD ST, DARDANELLE, AR 72834-3802
(479) 229-4677
Mailing address
1530 CORNERSTONE BLVD, SUITE 200, DAYTONA BEACH, FL 32117-7128
(386) 274-7800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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