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Organization

TUBA CITY REGIONAL HEALTH CARE CORPORATION

Active
Parent organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Other names
Bodaway Gap Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Authorized official
LYNETTE BONAR (CHIEF EXECUTIVE OFFICER)
(928) 283-2094
Entity
Organization

Contact information

Practice address
HWY 89 NORTH MILEPOST 498 EAST, BODAWAY GAP, AZ 86020
(928) 283-2501
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
02/06/2020
Last updated
02/06/2020
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