Individual
ERIC BLAINE YAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1214 SPRING ST # 1, JEFFERSONVILLE, IN 47130-3704
(812) 283-3993
(812) 283-7294
Mailing address
22902 MARRS LN, BORDEN, IN 47106-7904
(812) 725-5927
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01062273
IN
207P00000X
Emergency Medicine Physician
01062273A
IN
207P00000X
Emergency Medicine Physician
40102
KY
207Q00000X
Family Medicine Physician
01062273
IN
208D00000X
General Practice Physician
01066273
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200852970
—
IN
05
—
7100004390
—
KY
Enumeration date
03/14/2006
Last updated
11/24/2025
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