Individual
EVAN D YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1711 27TH ST STE 102, PORTSMOUTH, OH 45662-2657
(740) 356-1709
(740) 353-3027
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.003136
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087133
—
OH
Enumeration date
09/30/2010
Last updated
12/16/2020
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