| NPI | 1164706255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GREGORY CLARK President 559-224-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CA 17061) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |