ANTHONY STAPLES

ROANOKE, VA
NPI1255727145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: VA  0102206585)
Additional Taxonomies208000000X Pediatrics
(Licence: AL  2187)
2080S0012X Pediatrics, Sleep Medicine
(Licence: AL  2187)
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: AL  2187)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-08
Last Update Date2024-03-28
Business Address
ANTHONY STAPLES
4348 ELECTRIC RD
ROANOKE, VA 24018-0720
Phone number: 540-769-0976
Mailing Address
ANTHONY STAPLES
213 S JEFFERSON ST
ROANOKE, VA 24011-1705
Phone number: