Individual provider · Type 1 NPI
Michael L. Clark, DC
Chiropractor · Missoula, MT
NPI number
1265530232
Active
Practice location
3031 S Russell, Suite 4
Missoula, MT 59801
Fax (406) 327-6702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 656 (MT) |
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 1265530232
Michael L. Clark, DC's National Provider Identifier is 1265530232, issued on Sep 21, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Missoula, MT. The record was last updated on Feb 6, 2008.