Blackwelder Chiropractic, Inc.

NPI #1538244769 in Dana Point, California

Provider Information

NPI Number: 1538244769
Entity Type: Organization
Organization Name: Blackwelder Chiropractic, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Oct 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 24721 LA PLZ
City: Dana Point
State: California
ZIP Code: 92629-2509
Phone: (949) 240-2546

Authorized Official

Name: DR. CLYDE SPENCER BLACKWELDER, D.C.
Title: PRESIDENT/ OWNER
Phone: (949) 240-2546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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