Individual
DR. CLIFTON LEE MALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2516 ELMWAY, OKANOGAN, WA 98840-9629
(150) 942-2470
Mailing address
2516 ELMWAY, OKANOGAN, WA 98840-9629
(150) 942-2470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
992
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2566305
—
WA
Enumeration date
02/07/2007
Last updated
07/08/2007
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