Individual
DR. BENJAMIN LEON CLYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3025 MAIN STREET, SUITE 1, MORGANTOWN, PA 19543-7754
(610) 901-3380
(610) 901-3380
Mailing address
PO BOX 385, MORGANTOWN, PA 19543-0385
(610) 901-3380
(610) 901-3380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010140
PA
Other
Enumeration date
07/20/2009
Last updated
11/01/2017
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