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Individual

DR. JOSHUA CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
45 W MAIN STREET CT STE 100, ALPINE, UT 84004-5701
(801) 492-0206
Mailing address
45 W MAIN STREET CT STE 100, ALPINE, UT 84004-5701
(801) 492-0206

Taxonomy

Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
13585167-1202
UT

Other

Enumeration date
02/14/2024
Last updated
02/14/2024
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