Individual
JOSEPH DOUGLAS YEAKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1760 COUNTY RD 36, LEADVILLE, CO 80461
(719) 293-4897
Mailing address
PO BOX 943, 1760 COUNTY RD 36, LEADVILLE, CO 80461-0943
(719) 293-4897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OH35048052
OH
207P00000X
Emergency Medicine Physician
DR - 32388
CO
207P00000X
Emergency Medicine Physician
Primary
OH350H48052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0563411
—
OH
Enumeration date
11/15/2006
Last updated
03/10/2016
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