Michael L Clark, DC

NPI #1265530232 in Missoula, Montana

Provider Information

NPI Number: 1265530232
Entity Type: Individual
Name: Michael L Clark, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 21, 2006
Last Updated: Feb 6, 2008

Practice Location

Address: 3031 S RUSSELL
Address 2: SUITE 4
City: Missoula
State: Montana
ZIP Code: 59801
Phone: (406) 721-8825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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