DIANE M CLARK DC

PALMER COLLEGE FOUNDATION

Dr DIANE M CLARK DC is a female medical professional, specializing in Chiropractic. She graduated in 1987.

Contact

PALMER COLLEGE FOUNDATION

4705 CLYDE MORRIS BLVD
PORT ORANGE
FL
321294103

Tel: 3867632718

DIANE M CLARK DC Information

Npi 1306994637
Pac Id 1951334846
Professional Enrollment Id I20050912000986
Last Name CLARK
First Name DIANE
Middle Name M
Suffix
Gender F
Credential DC
Medical School Name OTHER
Graduation Year 1987
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PALMER COLLEGE FOUNDATION
Group Practice Pac Id 1557266863
Number Of Group Practice Members 44
Line 1 Street Address 4705 CLYDE MORRIS BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PORT ORANGE
State FL
Zip Code 321294103
Phone Number 3867632718
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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