Provider Demographics
NPI:1336394410
Name:YEATES, MICHAEL C (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:YEATES
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-0337
Mailing Address - Country:US
Mailing Address - Phone:801-773-4840
Mailing Address - Fax:801-525-8151
Practice Address - Street 1:380 NORTH 400 WEST
Practice Address - Street 2:TANNER MEMORIAL CLINIC
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037
Practice Address - Country:US
Practice Address - Phone:801-773-4840
Practice Address - Fax:801-525-8151
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT4817885-1204207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine