# DR. BRETT CLARK'S ALTERNATIVE WAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841722857
- **Authorized official:** DR. BRETT JACOB CLARK D.C. (CHIROPRACTOR)
- **Authorized official phone:** (314) 704-1095

## Contact information

- **Practice address:** 173 LONG RD, CHESTERFIELD, MO 63005-1255
- **Practice address phone:** (636) 530-1212
- **Mailing address:** 173 LONG RD, CHESTERFIELD, MO 63005-1255
- **Mailing address phone:** (636) 530-1212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2016044966 | MO | Yes |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 03/29/2017