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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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