Individual
TREVOR CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8001 WYOMING BLVD. NE, SUITE D-4, ALBUQUERQUE, NM 87113
(505) 884-8584
Mailing address
7615 CALLE CARISMA NE, ALBUQUERQUE, NM 87113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1551
NM
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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