Individual
DR. CLARK MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1221 ALHAMBRA BLVD, SUITE 105, SACRAMENTO, CA 95816-5237
(916) 451-5552
(916) 451-0756
Mailing address
1221 ALHAMBRA BLVD, SUITE 105, SACRAMENTO, CA 95816-5237
(916) 451-5552
(916) 451-0756
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC31430
CA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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