MEDICARE: DR. RODRIC MARSH YEAGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	MD009988	LA

General Provider Information

NPI Number	:	1598001687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODRIC MARSH YEAGER M.D.

Provider Business Mailing Address
First Line	:	7717 CRESWELL RD
Second Line	:	46
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-6000
Country	:	US
Telephone Number	:	318-868-8650
Fax Number	:

Provider Business Practice Location Address
First Line	:	7717 CRESWELL RD
Second Line	:	46
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-6000
Country	:	US
Telephone Number	:	318-868-8650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2012
Last Update Date	:	03/22/2026

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