person
Dr. Clive Brian Hannon, DC,
Chiropractor in Hesperia, California
NPI 1750469995

Clive Brian Hannon is a Chiropractor based in Hesperia, CA. Clive Brian Hannon practices in Hesperia, CA and has the professional credentials of DC,. The NPI Number for Clive Brian Hannon is 1750469995 and holds a License No. DC14845 (California).

The current practice location address for Clive Brian Hannon is 16808 Main St, Hesperia, CA and can be reached out via phone at 760-949-0996 and via fax at 760-949-0777.

Location: 16808 Main St, Hesperia, CA, 92345-7922
person
Provider Profile Details
NPI Number
1750469995
Provider Name
Clive Brian Hannon
Credential
DC,
Provider Entity Type
Individual
Gender
Male
Address
16808 Main St, Hesperia, CA, 92345-7922
Phone Number
760-949-0996
Fax Number
760-949-0777
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0148451 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
16808 Main St
City
State
Zip
92345-7922
Phone Number
760-949-0996
Fax Number
760-949-0777
person
Provider Business Mailing Address Details
Address
16808 Main St
City
State
Zip
92345-7922
Phone Number
760-949-0996
Fax Number
760-949-0777
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
DC14845 (California)
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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