person
Mr. Omar Coltrane Staples, PA
Medical Physician Assistant in Oakland, California
NPI 1700931631

Omar Coltrane Staples is a Medical Physician Assistant based in Oakland, CA and is specialized in Medical. Omar Coltrane Staples practices in Oakland, CA and has the professional credentials of PA. The NPI Number for Omar Coltrane Staples is 1700931631 and holds a License No. PA16192 (California).

The current practice location address for Omar Coltrane Staples is 5709 Market St, Oakland, CA and can be reached out via phone at 510-444-9460 and via fax at 510-444-1966.

Location: 5709 Market St, Oakland, CA, 94608-2811
person
Provider Profile Details
NPI Number
1700931631
Provider Name
Omar Coltrane Staples
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5709 Market St, Oakland, CA, 94608-2811
Phone Number
510-444-9460
Fax Number
510-444-1966
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5709 Market St
City
State
Zip
94608-2811
Phone Number
510-444-9460
Fax Number
510-444-1966
person
Provider Business Mailing Address Details
Address
5709 Market St
City
State
Zip
94608-2811
Phone Number
510-444-9460
Fax Number
510-444-1966
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA16192 (California)
Definition
Definition to come...
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