| Clark Chiropractic And Wellness | |
|
314 N Pine St, Ellensburg, WA 98926-3366 | |
| (360) 791-6226 | |
| Not Available |
| Full Name | Clark Chiropractic And Wellness |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 314 N Pine St, Ellensburg, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376215483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Dillon Thomas Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982180964 PECOS PAC ID: 5698024743 Enrollment ID: I20180822002073 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Chiropractic And Wellness 314 N Pine St, Ellensburg, WA 98926-3366 Ph: (360) 791-6226 | Clark Chiropractic And Wellness 314 N Pine St, Ellensburg, WA 98926-3366 Ph: (360) 791-6226 |
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