Provider Demographics
NPI:1043285851
Name:YARDE, WILLIAM LEON (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LEON
Last Name:YARDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USNH OKINAWA
Mailing Address - Street 2:PSC 482 BOX 128
Mailing Address - City:FPO AP
Mailing Address - State:OKINAWA
Mailing Address - Zip Code:96362
Mailing Address - Country:JP
Mailing Address - Phone:098-643-7210
Mailing Address - Fax:
Practice Address - Street 1:USNH OKINAWA
Practice Address - Street 2:PSC 482 BOX 128
Practice Address - City:FPO AP
Practice Address - State:OKINAWA
Practice Address - Zip Code:96362
Practice Address - Country:JP
Practice Address - Phone:098-643-7210
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA31371207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery