Provider Demographics
NPI:1710412010
Name:YOSEMITE BONE AND JOINT INC
Entity type:Organization
Organization Name:YOSEMITE BONE AND JOINT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABNER
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-723-2799
Mailing Address - Street 1:3365 G ST STE 60
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-0994
Mailing Address - Country:US
Mailing Address - Phone:209-723-2799
Mailing Address - Fax:209-330-3655
Practice Address - Street 1:3365 G ST STE 60
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0994
Practice Address - Country:US
Practice Address - Phone:209-723-2799
Practice Address - Fax:209-723-2799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty