Robert Dean Clark D.O.

NPI 1629174461 - Chiropractor - 111N00000X

NPI Details
NPI 1629174461
Gender Male
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
28 CLINTON AVE STE 2
WINSLOW ME, 04901-7076, US
Phone (207) 873-0904
Fax (207) 873-0904
Business Location
28 CLINTON AVE STE 2
WINSLOW ME, 04901-7076, US
Phone (207) 873-0904
Fax (207) 873-0904
Toxanomy
Taxonomy Code 111N00000X
License State Maine
License Number CR1063
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According to our database, Robert Dean Clark D.O. NPI is 1629174461, taxonomy code is 111N00000X and license number is CR1063, license state is located at Maine. Robert Dean Clark D.O. physically located at 28 Clinton Ave Ste 2, Winslow ME, 04901-7076. NPI Number Robert Dean Clark D.O. has the Individual type.

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1629174461 NPI number is provided on an as is basis without warranty of any kind. 1629174461 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Dean Clark D.O. are for informational purposes only.