Individual
CLARK WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9375 US HIGHWAY NORTH 19 SUITE A, PINELLAS PARK, FL 33782
(727) 323-4507
(727) 323-1697
Mailing address
9375 US HIGHWAY NORTH 19 SUITE A, PINELLAS PARK, FL 33782-5420
(727) 323-4507
(727) 323-1697
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5190
FL
Other
Enumeration date
06/15/2007
Last updated
10/21/2013
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