Provider Demographics
NPI:1093046690
Name:STAIGER, JAMES LEROY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEROY
Last Name:STAIGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19010 OLD BALTIMORE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20833-3226
Mailing Address - Country:US
Mailing Address - Phone:301-570-2395
Mailing Address - Fax:
Practice Address - Street 1:19010 OLD BALTIMORE RD
Practice Address - Street 2:
Practice Address - City:BROOKEVILLE
Practice Address - State:MD
Practice Address - Zip Code:20833-3226
Practice Address - Country:US
Practice Address - Phone:301-570-2395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK92352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry