Individual provider · Type 1 NPI

Omar Coltrane Staples, P.A.

Medical Physician Assistant · Oakland, CA

NPI number 1700931631 Active

Practice location

5709 Market St
Oakland, CA 94608-2811

Call (510) 444-9460 Map

Fax (510) 444-1966

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA16192 (CA)

Medical Physician Assistant: Definition to come...

20 other providers at this address

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About NPI 1700931631

Omar Coltrane Staples, P.A.'s National Provider Identifier is 1700931631, issued on Jan 23, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.