Individual
DR. DAVID L STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 748-3869
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001740
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021345
—
WA
01
—
410017355
RAIL ROAD MEDICARE
WA
01
—
410017363
RAIL ROAD MEDICARE
WA
01
—
410045036
RAIL ROAD MEDICARE
WA
Enumeration date
08/24/2006
Last updated
11/18/2020
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