Individual
DR. CLYDE YELLOWHAIR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047
(928) 289-4646
Mailing address
PO BOX 1322, CHINLE, AZ 86503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13046
AZ
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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