Individual
CLARENCE COLLIN BONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
520 MEDICAL CENTER DR STE 201, MEDFORD, OR 97504-4334
(541) 789-5710
(541) 789-5711
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
072116
IA
Other
Enumeration date
03/04/2014
Last updated
01/23/2018
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