SearchMissouri390200000X

Jared Yates

NPI 1659903557 · on the registry since 2020

Practice

Address
506 S Providence Rd Apt 4
Columbia, MO 65203
Phone
(816) 468-3933

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri