Mike Staff, PA
NPI #1326104290 in Carbondale, Illinois
Provider Information
- NPI Number
- 1326104290
- Entity Type
- Individual
- Name
- Mike Staff, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Jul 11, 2011
Practice Location
- Address
- 2601 W MAIN ST
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-1031
- Phone
- (618) 549-5361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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