Individual
DR. BRIAN T CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5175 MOORES MILL ROAD, HUNTSVILLE, AL 35811
(256) 859-0440
(256) 849-0388
Mailing address
5175 MOORES MILL ROAD, HUNTSVILLE, AL 35811
(256) 859-0440
(256) 859-0388
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
979
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051070543
BLUE CROSS&BLUE SHIELD
AL
Enumeration date
09/12/2006
Last updated
05/29/2015
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