Individual
BRENT RAY STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1723 HIGHWAY BLVD, STE 2, SPENCER, IA 51301-2200
(712) 262-5510
(712) 262-5511
Mailing address
1723 HIGHWAY BLVD, STE 2, SPENCER, IA 51301-2200
(712) 262-5510
(712) 262-5511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06226
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1189050
—
IA
Enumeration date
08/22/2005
Last updated
07/08/2007
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