Dr Dillon Thomas Clark, DC | |
314 N Pine St, Ellensburg, WA 98926-3366 | |
(360) 791-6226 | |
Not Available |
Full Name | Dr Dillon Thomas Clark |
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Gender | Male |
Speciality | Chiropractor |
Location | 314 N Pine St, Ellensburg, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982180964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH60875207 (Washington) | Primary |
Provider Name | Ellensburg Sport And Spine, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376215483 PECOS PAC ID: 0446637789 Enrollment ID: O20220506001438 |
Mailing Address | Practice Location Address |
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Dr Dillon Thomas Clark, DC 314 N Pine St, Ellensburg, WA 98926-3366 Ph: (360) 791-6226 | Dr Dillon Thomas Clark, DC 314 N Pine St, Ellensburg, WA 98926-3366 Ph: (360) 791-6226 |
Laser Spine & Disc Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2211 W Dolarway Rd Ste 4, Ellensburg, WA 98926 Phone: 509-925-7246 Fax: 509-933-4104 | |
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Dan Keffeler, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 109 S Water St Ste 2, Ellensburg, WA 98926 Phone: 509-962-2225 Fax: 509-962-2270 | |
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Logan Chavez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1000 E Harvest Loop Apt 901, Ellensburg, WA 98926 Phone: 360-601-6139 | |
Caleb Hull, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 801 S Ruby St Ste 1, Ellensburg, WA 98926 Phone: 509-962-8008 | |
Kyle Steven Odonnell, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 801 S Ruby St Ste 1, Ellensburg, WA 98926 Phone: 509-962-8008 |