Organization
STANLEY FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT RAY STANLEY D.C. (OWNER)
(712) 262-5510
Entity
Organization
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
111N00000X
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285213
—
IA
05
—
1189050
—
IA
Enumeration date
04/17/2006
Last updated
08/14/2007
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