Provider Demographics
NPI:1720367279
Name:LINDA STAIGER MD PC
Entity Type:Organization
Organization Name:LINDA STAIGER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENR/PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-842-3422
Mailing Address - Street 1:2947 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-4012
Mailing Address - Country:US
Mailing Address - Phone:434-842-3422
Mailing Address - Fax:
Practice Address - Street 1:4064 JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:FORK UNION
Practice Address - State:VA
Practice Address - Zip Code:23055
Practice Address - Country:US
Practice Address - Phone:434-842-3422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034494207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty