Stafford Corporation

NPI #1154591063 in Omaha, Nebraska

Provider Information

NPI Number: 1154591063
Entity Type: Organization
Organization Name: Stafford Corporation
Primary Specialty: Chiropractor
Enumeration Date: Mar 6, 2008
Last Updated: Mar 6, 2008

Practice Location

Address: 3675 N 129TH ST
City: Omaha
State: Nebraska
ZIP Code: 68164-5211
Phone: (712) 520-1717

Authorized Official

Name: DR. LESLIE CARTER MARTIN, D.C.
Title: PRESIDENT
Phone: (712) 520-1717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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