Individual
RAMON CARLOS YLANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6398
(479) 966-4187
(479) 966-4197
Mailing address
3900 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6398
(479) 966-4187
(479) 966-4197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2004017667
MO
207Q00000X
Family Medicine Physician
31290
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
31290
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
E-7389
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0534520001
MEDICARE DME
SC
05
—
312904
—
SC
Enumeration date
10/05/2006
Last updated
02/09/2012
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