Individual
CODY YELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(405) 802-1997
Mailing address
13301 N MIDWEST BLVD, JONES, OK 73049-3471
(405) 802-1997
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9702
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2023
Last updated
07/01/2026
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