Individual
DR. MICHAEL JUDE YAMBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1617 N WASHINGTON, MAGNOLIA, AR 71753-2046
(870) 881-4463
Mailing address
1617 N WASHINGTON, MAGNOLIA, AR 71753-2046
(870) 881-4463
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-9250
AR
207Q00000X
Family Medicine Physician
Primary
E-9250
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2013
Last updated
12/17/2021
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