| Organization Name: | YARBROUGH MEDICAL PLLC |
| NPI Number: | 1528319845 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARDRY L YARBROUGH (DOCTOR) |
| Mailing Address: | 1200 W Liberty Rd Atoka |
| State: | OK US |
| Postal Code: | 745251621 |
| Phone Number: | 5808893333 |
| Fax Number: | 5808891948 |
| NPI Enumeration Date: | 09/26/2012 |
| NPI Last Update Date: | 09/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 22046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |