Individual
DR. JOSEPH J STAAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 W HAMLET AVE, MEDICAL IMAGING, HAMLET, NC 28345-4522
(910) 205-8155
(910) 205-8003
Mailing address
PO BOX 100523, FLORENCE, SC 29502-0523
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2007-01154
NC
2085R0202X
Diagnostic Radiology Physician
34-00-5668-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037030
—
OH
05
—
5907191
—
NC
Enumeration date
08/23/2005
Last updated
08/01/2016
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