Organization
YATES ANESTHESIA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARA CHRISTINE BULKLEY CRNA, MS (PRESIDENT)
(870) 476-0850
Entity
Organization
Contact information
Practice address
107 CYPRESS POINTE, PARAGOULD, AR 72450
(870) 476-0850
(870) 240-8028
Mailing address
107 CYPRESS POINTE, PARAGOULD, AR 72450
(870) 476-0850
(870) 240-8028
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C02659
AR
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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