Yarbrough, Ardry Lance

Yarbrough, Ardry Lance is an individual health care provider with primary practice located at 1504 S Virginia Ave , Atoka OK 74525-3246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yarbrough, Ardry Lance can be contacted via phone (580) 889-4746.

Contact Information

Primary practice address
1504 S Virginia Ave Atoka OK 74525-3246
Fax: (580) 889-4735
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22046 Oklahoma

Profile Details

NPI number 1386669745
LBN Legal business name Yarbrough, Ardry Lance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 2nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386669745 NPPES
Oklahoma MEDICAID 100130780A

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