Organization
LADNY YATES MD PC
Active
Organization
LADNY YATES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LADNY JERAD YATES MD (ANESTHESIOLOGIST)
(580) 272-0485
Entity
Organization
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 272-0485
Mailing address
PO BOX 757, ADA, OK 74821-0757
(580) 272-0485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22045
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679562243
INDIVIDUAL ID
OK
Enumeration date
04/02/2007
Last updated
12/18/2007
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