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Ricky Staub

NPI 1598145971 · on the registry since 2015

Practice

Address
306 Georgian Pl
Somerset, PA 15501
Phone
(814) 444-0620
Fax
(814) 444-0640
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-01

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 Pennsylvania