Organization
KAREN L YATES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L YATES MD (OWNER)
(928) 771-0555
Entity
Organization
Contact information
Practice address
141 S MCCORMICK ST STE 108, PRESCOTT, AZ 86303-4730
(928) 771-0555
(928) 771-0444
Mailing address
141 S MCCORMICK ST STE 108, PRESCOTT, AZ 86303-4730
(928) 771-0555
(928) 771-0444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23760
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23760
LICENSE
AZ
Enumeration date
03/25/2008
Last updated
03/25/2008
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