Individual
PAUL YEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIRCLE, LEE STREET, 1ST FLOOR, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8229
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101048319
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006022537
—
VA
Enumeration date
02/15/2007
Last updated
08/08/2022
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