Individual
GARY STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-A
Contact information
Practice address
301 W 14TH ST, SIOUX FALLS, SD 57104-6841
(605) 338-6251
(605) 333-0018
Mailing address
301 W 14TH ST, SIOUX FALLS, SD 57104-6841
(605) 338-6251
(605) 333-0018
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9150560
—
SD
Enumeration date
10/04/2006
Last updated
07/08/2007
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