Individual
DR. NATHAN ELDON STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2816 E 30TH AVE, SPOKANE, WA 99223-4782
(509) 535-5771
(509) 535-5782
Mailing address
2816 E 30TH AVE, SPOKANE, WA 99223-4782
(509) 535-5771
(509) 535-5782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 60453660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8937228
MEDICARE PTAN (GROUP)
WA
01
—
G8937229
MEDICARE PTAN (INDIVIDUAL)
WA
Enumeration date
01/01/2015
Last updated
04/13/2016
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