Individual
CHARLES C YELVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 S PLUM ST, VERMILLION, SD 57069-3306
(605) 624-8643
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3334
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5607392
—
SD
Enumeration date
08/16/2005
Last updated
08/05/2011
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