Individual
DR. WALTER BRUCE YANCEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 SE 24TH ST, GAINESVILLE, FL 32641-7516
(352) 334-7900
(352) 955-2126
Mailing address
224 SE 24TH ST, GAINESVILLE, FL 32641-7516
(352) 334-7900
(352) 955-2126
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME46815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME46815
STATE LICENSE NUMBER
FL
Enumeration date
10/15/2012
Last updated
02/12/2020
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