Individual
ANNIE L STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 S BASCOM AVE, OB GYN CLINIC AT BASCOM, SAN JOSE, CA 95128-2603
(408) 885-5550
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A75909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A759090
—
CA
Enumeration date
11/28/2006
Last updated
06/02/2022
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