Individual
MR. CHRISTOPHER RUSSELL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
177 E HIGH ST, WAYNESBURG, PA 15370-1818
(724) 852-1777
(724) 852-1777
Mailing address
177 E HIGH ST, WAYNESBURG, PA 15370-1818
(724) 852-1777
(724) 852-1777
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007628L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01666127
GROUP HIGHMARK BCBS
PA
05
—
1010082300001
—
PA
01
—
1134175474
INDIVIDUAL NPI NUMBER
PA
01
—
897504
INDIVIDUAL HIGHMARK BCBS
PA
Enumeration date
05/26/2006
Last updated
07/08/2007
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