Individual
ERIC M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
500 SAN JUAN ST, TRINIDAD, CO 81082-2517
(719) 845-0001
(719) 845-8882
Mailing address
500 SAN JUAN ST, TRINIDAD, CO 81082-2517
(719) 845-0001
(719) 845-8882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5077
CO
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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