Organization
CLARK CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN E. CLARK D.C. (CEO)
(443) 637-4936
Entity
Organization
Contact information
Practice address
4639 MOUNTAIN RD, PASADENA, MD 21122-5455
(443) 637-4936
(443) 637-4946
Mailing address
4639 MOUNTAIN RD, PASADENA, MD 21122-5455
(443) 637-4936
(443) 637-4946
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1464PT
MD
Other
Enumeration date
02/05/2007
Last updated
11/20/2008
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