Organization
CLARK FAMILY CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RAY CLARK (CHIROPRACTOR)
(918) 617-7738
Entity
Organization
Contact information
Practice address
804 S.E. 3RD ST., STIGLER, OK 74462
(918) 617-7738
Mailing address
804 S.E. 3RD ST., STIGLER, OK 74462
(918) 617-7738
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
3920
OK
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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