Individual
AUDRA MICHELLE YADACK
Active
Individual
AUDRA MICHELLE YADACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
32083
OK
Other
Enumeration date
06/03/2010
Last updated
12/07/2016
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