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Organization
DR. BRETT CLARK'S ALTERNATIVE WAY LLC
Active
Organization
DR. BRETT CLARK'S ALTERNATIVE WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT JACOB CLARK D.C. (CHIROPRACTOR)
(314) 704-1095
Entity
Organization
Contact information
Practice address
173 LONG RD, CHESTERFIELD, MO 63005-1255
(636) 530-1212
Mailing address
173 LONG RD, CHESTERFIELD, MO 63005-1255
(636) 530-1212
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2016044966
MO
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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