Organization
THE BONE AND JOINT CENTER OF YUMA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON CLARK M.D. (OWNER/MEMBER)
(928) 726-1556
Entity
Organization
Contact information
Practice address
1763 W 24TH ST, SUITE 102, YUMA, AZ 85364-6219
(928) 726-1556
Mailing address
PO BOX 4685, YUMA, AZ 85366-2437
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45972
AZ
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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