Individual
AARON TIMOTHY CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14520 W GRANITE VALLEY DR, SUITE 210, SUN CITY WEST, AZ 85375-5855
(623) 537-5600
(866) 939-2673
Mailing address
18444 N 25TH AVE, SUITE 310, PHOENIX, AZ 85023-1261
(623) 537-5600
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4530
AZ
363AS0400X
Surgical Physician Assistant
Primary
4530
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480271
—
AZ
01
—
5550830001
MEDICARE NSC SUN CITY WEST
AZ
01
—
5550830003
MEDICARE NSC PEORIA
AZ
01
—
5550830007
MEDICARE NSC DV
AZ
01
—
5550830010
MEDICARE NSC GILBERT
AZ
01
—
5550830011
MEDICARE NSC CENTRAL PHOENIX
AZ
01
—
5550830012
MEDICARE NSC SPINE CENTER
AZ
Enumeration date
11/06/2008
Last updated
01/17/2014
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