Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 218194 | MA |
NPI | 1013007319 |
---|---|
Provider Name | Dr. William Arthur Yelle |
First Address | Providence, RI 02906-1450 |
Second Address | Providence, RI 02908-4728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2006 |
Last Update Date | 15/04/2008 |