Individual
SCOTT WALDEN YEATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
34479
SC
207W00000X
Ophthalmology Physician
Primary
8497008-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
11/14/2008
Last updated
02/20/2014
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