DR. Dale Eugene Clark, DC

NPI #1386787398 in Eatonville, Washington

Provider Information

NPI Number: 1386787398
Entity Type: Individual
Name: DR. Dale Eugene Clark, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 109 RAINIER AVE SO STE C
City: Eatonville
State: Washington
ZIP Code: 98328-0546
Phone: (360) 832-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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