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Individual

JEFFREY K YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2467
Mailing address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2467

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N-8364
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123414003
AR
Enumeration date
04/26/2006
Last updated
02/18/2015
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