Organization
BAY AREA SPINE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W CLUCK MD (OWNER)
(408) 295-2200
Entity
Organization
Contact information
Practice address
1170 W OLIVE AVE STE B&D, MERCED, CA 95348-1959
(209) 276-2200
(209) 276-2202
Mailing address
1170 W OLIVE AVE STE B&D, MERCED, CA 95348-1959
(209) 276-2200
(209) 276-2202
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A76201
CA
Other
Enumeration date
03/04/2014
Last updated
09/01/2020
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