Individual
ANNA STAUDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3180
Mailing address
5601 RIVERBLUFF DR, SUFFOLK, VA 23435-1629
(757) 484-9254
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101048105
VA
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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