Organization
H.E. STNFORD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERSCHEL E STANFORD DC (PRESIDENT)
(239) 275-3343
Entity
Organization
Contact information
Practice address
12734 KENWOOD LN, FORT MYERS, FL 33907-5666
(239) 275-3343
(239) 275-8694
Mailing address
12734 KENWOOD LN, FORT MYERS, FL 33907-5666
(239) 275-3343
(239) 275-8694
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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