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DERICK STACKPOLE
Physician Assistant
NPI: 1396217485IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
0110006532(VA)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2018
Contact & Hours
Via practice · 2 locations total
- Address
- 1906 Belleview Ave SE
Roanoke, VA 24014 - Phone
- (540) 314-9194
Quick Facts
- NPI
- 1396217485
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 8
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