Keith Staples Valid NPI
Individual provider · Independent Duty Corpsman · Norfolk, VA
- NPI
- 1205018819
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Corpsman (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1002X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-12-05
- Last updated
- 2007-12-05
Practice location
1310 8th St, Suite 100
Norfolk, VA 23521-2416
(757) 462-8624