Individual
ANTHONY STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
(540) 857-5392
Mailing address
213 S JEFFERSON ST, ROANOKE, VA 24011-1705
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2187
AL
2080S0012X
Pediatric Sleep Medicine Physician
2187
AL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
0102206585
VA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2187
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
03/28/2024
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