Organization
YUMA HEART INSTITITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE W CLARK M.D. (DELEGATED OFFICIAL)
(928) 344-3350
Entity
Organization
Contact information
Practice address
2503 S AVE A, SUITE #2, YUMA, AZ 85364
(928) 344-3350
(928) 344-2270
Mailing address
2503 S AVENUE A, SUITE #2, YUMA, AZ 85364
(928) 344-3350
(928) 344-2270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
12/04/2007
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