Charles Clark JR., D.C.

NPI #1003119272 in Glendale, Arizona

Provider Information

NPI Number: 1003119272
Entity Type: Individual
Name: Charles Clark JR., D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Dec 10, 2010
Last Updated: Feb 8, 2017

Practice Location

Address: 16222 N 59TH AVE
Address 2: SUITE A100
City: Glendale
State: Arizona
ZIP Code: 85306-1705
Phone: (623) 334-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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