NPI 1144256843

Jerry T Staley, MD

Practitioner Physical Medicine & Rehabilitation Physician Augusta, ME

Practice location

Address: 55 Middle St, Augusta, ME 04330-5728
Phone: (207) 629-9488
Fax: (207) 622-8796

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 2002023337 (MO)

Other Physical Medicine & Rehabilitation providers in Maine →

Registry record

NPI: 1144256843
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2006
Record last updated: 6 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.