Individual
BRET R STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1170 N MOAPA VALLEY BLVD., SUITE C, OVERTON, NV 89040-1350
(702) 397-2273
(702) 397-2705
Mailing address
PO BOX 1350, OVERTON, NV 89040-1350
(702) 397-2273
(702) 397-2705
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B-506
NV
Other
Enumeration date
02/26/2008
Last updated
03/06/2008
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