Individual
AARON TIMOTHY CLARE
Active
Individual
AARON TIMOTHY CLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
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
Update your record
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