Organization
DR. BRETT CLARK'S ALTERNATIVE WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT JACOB CLARK D.C. (CHIROPRACTOR)
(314) 704-1095
Entity
Organization
Contact information
Practice address
173 LONG RD, CHESTERFIELD, MO 63005-1255
(636) 530-1212
Mailing address
173 LONG RD, CHESTERFIELD, MO 63005-1255
(636) 530-1212
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2016044966
MO
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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