Raymond George Clark D.C.

NPI 1619075298 - Chiropractor - 111N00000X

NPI Details
NPI 1619075298
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1306 23RD ST S
FARGO ND, 58103-3707, US
Phone (701) 235-1360
Fax (701) 235-1360
Business Location
1306 23RD ST S
FARGO ND, 58103-3707, US
Phone (701) 235-1360
Fax (701) 235-1360
Toxanomy
Taxonomy Code 111N00000X
License State North Dakota
License Number 421
Remove 1619075298 NPI Number
 

According to our database, Raymond George Clark D.C. NPI is 1619075298, taxonomy code is 111N00000X and license number is 421, license state is located at North Dakota. Raymond George Clark D.C. physically located at 1306 23rd St S, Fargo ND, 58103-3707. NPI Number Raymond George Clark D.C. has the Individual type.

Sponsored links

1619075298 NPI number is provided on an as is basis without warranty of any kind. 1619075298 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond George Clark D.C. are for informational purposes only.