Individual
MICHAEL R CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
804 S.E. 3RD ST., STIGLER, OK 74462
(918) 617-7738
Mailing address
804 SE 3RD ST, STIGLER, OK 74462-3602
(918) 617-7738
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3920
OK
Other
Enumeration date
01/26/2010
Last updated
12/20/2017
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