NPI Profile for RONDA K CLARK in YORK, NE.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI # | 1700832565 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 05/25/2006 | |
| Last updated | 05/15/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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RONDA K CLARK
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