Provider Demographics
NPI:1104974807
Name:STAIRS, PAUL WHITNEY (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:WHITNEY
Last Name:STAIRS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 MIDLOTHIAN TPKE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-5116
Mailing Address - Country:US
Mailing Address - Phone:804-320-8160
Mailing Address - Fax:804-217-7991
Practice Address - Street 1:8110 MIDLOTHIAN TPKE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-5116
Practice Address - Country:US
Practice Address - Phone:804-822-4355
Practice Address - Fax:804-217-7991
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041355207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine