Individual
AUDRA MICHELLE YADACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4601 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4815
(405) 840-9999
(405) 840-9998
Mailing address
450 CLARKSON AVE. SUNY DOWNSTATE MEDICAL CENTER, DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES, NEW YORK CITY, NY 11203
(718) 270-2902
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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