Doctor Name: | MISS CLARE ELIZABETH YORK |
NPI Number: | 1356437172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPAS, PA-C |
License Number: | PA 15564 |
Business Practice Address: | 805 Main St. Salmon, ID - 83467 |
Business Phone Number: | 2087566212 |
Business Fax Number: | 2087566336 |
Mailing Address: | 203 S. Daisy St., SALMON |
State: | ID |
Postal Code: | 83467 |
Phone Number: | 2087566212 |
Fax Number: | 2087566336 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 12/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA 15564 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |