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Dr. Randal Mark Clark, DC
Chiropractor in Kent, Washington
NPI 1407987019

Randal Mark Clark is a Chiropractor based in Kent, WA. Randal Mark Clark practices in Kent, WA and has the professional credentials of DC. The NPI Number for Randal Mark Clark is 1407987019 and holds a License No. 1870 (Washington).

The current practice location address for Randal Mark Clark is 22711 43Rd Ave S, Kent, WA and can be reached out via phone at 253-373-9902 and via fax at 253-661-6405.

Location: 22711 43Rd Ave S, Kent, WA, 98032-8467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407987019
Provider Name
Randal Mark Clark
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
22711 43Rd Ave S, Kent, WA, 98032-8467
Phone Number
253-373-9902
Fax Number
253-661-6405
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101394 01 WA L & I
institution
Provider Business Practice Location Address Details
Address
22711 43Rd Ave S
City
Kent
State
Washington
Zip
98032-8467
Phone Number
253-373-9902
Fax Number
253-661-6405
person
Provider Business Mailing Address Details
Address
22711 43Rd Ave S
City
Kent
State
Washington
Zip
98032-8467
Phone Number
253-373-9902
Fax Number
253-661-6405
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1870 (Washington)
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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