Healthcare Provider Details

I. General information

NPI: 1689743221
Provider Name (Legal Business Name): LINDA F. STAIGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 01/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4064 JAMES MADISON HWY
FORK UNION VA
23055
US

IV. Provider business mailing address

4064 JAMES MADISON HWY
FORK UNION VA
23055
US

V. Phone/Fax

Practice location:
  • Phone: 434-842-3244
  • Fax: 434-842-1110
Mailing address:
  • Phone: 434-842-3244
  • Fax: 434-842-1110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101034494
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: