Individual provider · Type 1 NPI

Michael Treavelyn Stafford, DC

Chiropractor · La Jolla, CA

NPI number 1487838041 Active

Practice location

6628 La Jolla Blvd
La Jolla, CA 92037-6018

Fax (858) 459-2317

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC12287 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1487838041

Michael Treavelyn Stafford, DC's National Provider Identifier is 1487838041, issued on Dec 19, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in La Jolla, CA. The record was last updated on Dec 19, 2007.