Healthcare Provider Details

I. General information

NPI: 1720367279
Provider Name (Legal Business Name): LINDA STAIGER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 08/19/2011
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

2947 RIDGE RD
PALMYRA VA
22963-4012
US

V. Phone/Fax

Practice location:
  • Phone: 434-842-3422
  • Fax:
Mailing address:
  • Phone: 434-842-3422
  • Fax:

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: MRS. LINDA STAIGER
Title or Position: OWENR/PHYSICIAN
Credential: M.D.
Phone: 434-842-3422