Individual
DR. BRETT JACOB CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2718 FORUM BLVD STE 2, COLUMBIA, MO 65203-5451
(314) 704-1095
(314) 873-1887
Mailing address
2718 FORUM BLVD STE 2, COLUMBIA, MO 65203-5451
(314) 704-1095
(314) 873-1887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2016044966
MO
Other
Enumeration date
01/04/2017
Last updated
03/14/2022
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