Individual provider · Type 1 NPI
Brett Jacob Clark, DC
Chiropractor · Columbia, MO
NPI number
1679018303
Active
Practice location
2718 Forum Blvd Ste 2
Columbia, MO 65203-5451
Fax (314) 873-1887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2016044966 (MO) |
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 1679018303
Brett Jacob Clark, DC's National Provider Identifier is 1679018303, issued on Jan 4, 2017. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Columbia, MO. The record was last updated on Mar 14, 2022.