NPI | 1568640530 |
---|---|
Doing Business As | CLARK CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | JEFFERY S CLARK Owner 207-780-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR1139) |
Enumeration Date | 2008-02-01 |
Last Update Date | 2008-02-01 |