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Individual

DR. DWIGHT DAVID STAPLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
222968-1
NY
207RC0000X
Cardiovascular Disease Physician
Primary
MD417062
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018636900001
PA
05
02189504
NY
01
060066509
RR MEDICARE PIN
PA
01
CC8362
RR MEDICARE GROUP
NY
01
CC9269
RR MEDICARE GROUP
PA
01
GU039823
PA MEDICARE GROUP
PA
01
P00327245
RR MEDICARE PIN
NY
Enumeration date
02/21/2006
Last updated
07/13/2015
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