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Derick Stackpole
NPI 1396217485 · on the registry since 2018
Practice
- Address
- 4035 Electric Rd Ste A
Roanoke, VA 24018 - Phone
- (540) 772-8670
- Organisation at this address
- Carilion Dtc Services Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Additional practice sites
- 1906 Belleview Ave Se, Roanoke, VA
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia