Individual
DR. RANDAL MARK CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
22711 43RD AVE S, KENT, WA 98032-8467
(253) 373-9902
(253) 661-6405
Mailing address
22711 43RD AVE S, KENT, WA 98032-8467
(253) 373-9902
(253) 661-6405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1870
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101394
L & I
WA
Enumeration date
03/07/2007
Last updated
07/08/2007
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