Individual provider · Type 1 NPI
John Richard Clark Ii, DC
Chiropractor · Vista, CA
NPI number
1982811493
Active
Practice location
750 Sycamore Ave Ste B
Vista, CA 92083-7912
Fax (760) 598-5584
Mailing address
614 NW Delaware Ave # A
Bend, OR 97701-3226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC 17275 (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.
Another provider at this address
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About NPI 1982811493
John Richard Clark Ii, DC's National Provider Identifier is 1982811493, issued on May 16, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Vista, CA. The record was last updated on Jul 8, 2007.