Individual
RONDA K. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
309 S LINCOLN AVE, YORK, NE 68467
(402) 745-6279
Mailing address
1910 N GRANT AVE, YORK, NE 68467-1125
(402) 366-1685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
684
NE
363AM0700X
Medical Physician Assistant
Primary
4859
AZ
Other
Enumeration date
05/25/2006
Last updated
05/15/2018
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