Individual
DANIEL PATRICK STAMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Contact information
Practice address
919 N 21ST ST, NEWARK, OH 43055-2919
(740) 366-6601
(740) 366-6286
Mailing address
919 N 21ST ST, NEWARK, OH 43055-2919
(740) 366-6601
(740) 366-6286
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
OH2391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069023
—
OH
Enumeration date
09/19/2006
Last updated
06/03/2016
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