Dr. Dillon Thomas Clark, DC
Chiropractor in Ellensburg, WA. Individual provider (NPI-1).
NPI number1982180964
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1982180964
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dillon Thomas Clark
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2018
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH60875207 | WA | Yes |
Practice location
314 N Pine StEllensburg, WA 98926-3366
Phone 360-791-6226
Mailing address
314 N Pine StEllensburg, WA 98926-3366
Phone 360-791-6226
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