Individual
CASEY J STAIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 KEMPSRIVER DR, VIRGINIA BEACH, VA 23464-5369
(757) 233-0240
Mailing address
1149 ACREDALE RD, VIRGINIA BEACH, VA 23464-5907
(904) 553-1236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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