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Mr. Christopher Russell Clark, DC
Chiropractor in Waynesburg, Pennsylvania
NPI 1134175474

Christopher Russell Clark is a Chiropractor based in Waynesburg, PA. Christopher Russell Clark practices in Waynesburg, PA and has the professional credentials of DC. The NPI Number for Christopher Russell Clark is 1134175474 and holds a License No. DC007628L (Pennsylvania).

The current practice location address for Christopher Russell Clark is 177 E High St, Waynesburg, PA and can be reached out via phone at 724-852-1777 and via fax at 724-852-1777.

Location: 177 E High St, Waynesburg, PA, 15370-1818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134175474
Provider Name
Christopher Russell Clark
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
177 E High St, Waynesburg, PA, 15370-1818
Phone Number
724-852-1777
Fax Number
724-852-1777
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01666127 01 PA GROUP HIGHMARK BCBS
1010082300001 05 PA
897504 01 PA INDIVIDUAL HIGHMARK BCBS
1134175474 01 PA INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
177 E High St
City
Waynesburg
State
Pennsylvania
Zip
15370-1818
Phone Number
724-852-1777
Fax Number
724-852-1777
person
Provider Business Mailing Address Details
Address
177 E High St
City
Waynesburg
State
Pennsylvania
Zip
15370-1818
Phone Number
724-852-1777
Fax Number
724-852-1777
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC007628L (Pennsylvania)
Definition
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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