Provider Demographics
NPI:1831123553
Name:YARBROUGH, DAVID ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ARTHUR
Last Name:YARBROUGH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:130 DESIARD ST
Mailing Address - Street 2:STE 355
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-7363
Mailing Address - Country:US
Mailing Address - Phone:318-807-7875
Mailing Address - Fax:318-812-9997
Practice Address - Street 1:3400 MEDICAL PARK DR STE B
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2300
Practice Address - Country:US
Practice Address - Phone:318-387-6803
Practice Address - Fax:318-387-6874
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2019-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA018545207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1353728Medicaid
LA50651DD24Medicare PIN
B62537Medicare UPIN