Individual provider · Type 1 NPI

Clinton Russell Stark, DC

Chiropractor · Tustin, CA

NPI number 1124184593 Active

Practice location

13771 Newport Ave, Suite 8
Tustin, CA 92780-4693

Call (714) 368-7600 Map

Fax (714) 368-7630

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC24623 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1124184593

Clinton Russell Stark, DC's National Provider Identifier is 1124184593, issued on Dec 29, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Tustin, CA. The record was last updated on Jul 8, 2007.