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Organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Active
Organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Active
Parent organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Other names
Bodaway Gap Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Authorized official
LYNETTE BONAR (CHIEF EXECUTIVE OFFICER)
(928) 283-2094
Entity
Organization
Contact information
Practice address
HWY 89 NORTH MILEPOST 498 EAST, BODAWAY GAP, AZ 86020
(928) 283-2501
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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