Individual
MR. BRIAN DOUGLAS STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
546 N MAIN ST, WASILLA, AK 99654-7019
(907) 376-2600
(907) 376-2605
Mailing address
546 N MAIN ST, WASILLA, AK 99654-7019
(907) 376-2600
(907) 376-2605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIC297
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH02971
—
AK
Enumeration date
11/22/2006
Last updated
11/30/2016
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