Individual
MR. ANDREW PHILLIP CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC. LMT
Contact information
Practice address
251 CENTRAL AVE, DOVER, NH 03820-4188
(917) 771-7163
Mailing address
17 SNOWS CT, DOVER, NH 03820-3307
(917) 771-7163
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005636-1
NY
171100000X
Acupuncturist
Primary
279
NH
Other
Enumeration date
09/15/2015
Last updated
03/22/2019
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