Jack J. Clark, D.c.p.c.
NPI #1083820302 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1083820302
- Entity Type
- Organization
- Organization Name
- Jack J. Clark, D.c.p.c.
- Primary Specialty
- Chiropractor
- Enumeration Date
- May 15, 2007
- Last Updated
- Jun 27, 2008
Practice Location
- Address
- 6015 E STATE BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46815-7638
- Phone
- (260) 486-1886
Authorized Official
- Name
- MRS. VALERIE BADIAC
- Title
- OFFICE MANAGER
- Phone
- (260) 486-1886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Rehabilitation — Rehabilitation |
| Chiropractor |
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