Individual provider · Type 1 NPI

Clyde Spencer Blackwelder, DC

Chiropractor · Dana Point, CA

NPI number 1992880199 Active

Practice location

24721 La Plz
Dana Point, CA 92629-2509

Call (949) 240-2546 Map

Fax (949) 240-3804

Mailing address

25762 Via Del Rey
San Juan Capistrano, CA 92675-4444

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC23746 (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 1992880199

Clyde Spencer Blackwelder, DC's National Provider Identifier is 1992880199, issued on Oct 26, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Dana Point, CA. The record was last updated on Jul 8, 2007.