Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 31371 | GA |
NPI | 1043285851 |
---|---|
Provider Name | Dr. William Leon Yarde |
First Address | Fpo Ap, OKINAWA 96362 |
Second Address | Fpo Ap, OKINAWA 96362 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 08/07/2007 |