KELLY STAGG, DPM
Podiatrist
Active
Individual
NPI: 1316935117
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | 104245-0501 (UT) |
Frequently Asked Questions
NPI 1316935117 is the National Provider Identifier for KELLY STAGG, DPM, a Podiatrist provider located in Ogden, UT. This NPI was enumerated on October 6, 2005.
KELLY STAGG, DPM practices at 4700 HARRISON BLVD, Ogden, UT 84403.
Quick Facts
- NPI
- 1316935117
- Type
- Individual
- Enumerated
- Oct 6, 2005
- Last Updated
- Jan 18, 2017
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