DR. Ethan Clark, DC

NPI #1609760347 in Claremore, Oklahoma

Provider Information

NPI Number: 1609760347
Entity Type: Individual
Name: DR. Ethan Clark, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jun 6, 2025
Last Updated: Jun 6, 2025

Practice Location

Address: 16600 S 4150 RD
City: Claremore
State: Oklahoma
ZIP Code: 74017-0388
Phone: (918) 645-4112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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