Individual provider · Type 1 NPI

Derick Stackpole

Physician Assistant · Roanoke, VA

NPI number 1396217485 Active

Practice location

4035 Electric Rd Ste A
Roanoke, VA 24018

Call (540) 772-8670 Map

Other practice locations

  • 1906 Belleview Ave SE, Roanoke, VA 24014-1838 · (540) 314-9194

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110006532 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1396217485

Derick Stackpole's National Provider Identifier is 1396217485, issued on Dec 30, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roanoke, VA. The record was last updated on Aug 29, 2019.