Individual
DR. EDWIN CURTIS YEARY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 S WHEELING AVE, STE 606, TULSA, OK 74104-5638
(918) 748-7676
(918) 293-3130
Mailing address
1919 S WHEELING AVE, STE 606, TULSA, OK 74104-5638
(918) 748-7676
(918) 293-3130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12655
OK
2086S0129X
Vascular Surgery Physician
12655
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020002100
RAILROAD MEDICARE
OK
05
—
100100460A
—
OK
01
—
730768966006
BLUE CROSS BLUE SHIELD
OK
Enumeration date
06/21/2006
Last updated
10/16/2012
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