Individual
LANCE D CLYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 N SWAN ROAD, SUITE 100, TUCSON, AZ 85712
(520) 324-2030
(520) 324-2619
Mailing address
2810 N SWAN RD, SUITE 100, TUCSON, AZ 85712-6305
(520) 324-2030
(520) 324-2619
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25586
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389701
—
AZ
Enumeration date
05/05/2006
Last updated
01/24/2011
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