MR. Keith Staples

NPI #1205018819 in Norfolk, Virginia

Provider Information

NPI Number
1205018819
Entity Type
Individual
Name
MR. Keith Staples
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Enumeration Date
Dec 5, 2007
Last Updated
Dec 5, 2007

Practice Location

Address
1310 8TH ST
Address 2
SUITE 100
ZIP Code
23521-2416
Phone
(757) 462-8624

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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