Individual
DR. CLYDE SPENCER BLACKWELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
24721 LA PLZ, DANA POINT, CA 92629-2509
(949) 240-2546
(949) 240-3804
Mailing address
25762 VIA DEL REY, SAN JUAN CAPISTRANO, CA 92675-4444
(949) 240-0483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23746
CA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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