Individual
ERIC WILLIAM STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NAVY IDC
Contact information
Practice address
7958 BLANDY ROAD, COMMANDER SUBMARINE FORCE ATLANTIC, NORFOLK, VA 23551-2492
(757) 836-1351
(757) 836-1352
Mailing address
7958 BLANDY ROAD, COMMANDER SUBMARINE FORCE ATLANTIC, NORFOLK, VA 23551-2492
(757) 836-1351
(757) 836-1352
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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