Organization
JEFFERY S. CLARK, D.C., P.A.
Active
Other names
Clark Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY S CLARK D.C. (OWNER)
(207) 780-0300
Entity
Organization
Contact information
Practice address
47 PORTLAND ST, PORTLAND, ME 04101-3188
(207) 780-0300
(866) 265-5910
Mailing address
47 PORTLAND ST, PORTLAND, ME 04101-3188
(207) 780-0300
(866) 265-5910
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1139
ME
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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