NPI 1619904638

Douglas L Stagg, MD

Practitioner Occupational Medicine Physician Twin Falls, ID

Practice location

Address: 775 Pole Line Rd W Suite 101, Twin Falls, ID 83301-5814
Phone: (208) 814-8100
Fax: (208) 814-8900
Mailing address: PO Box 587 Suite 100, Twin Falls, ID 83303-0587

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence M3528 (ID)

Other Preventive Medicine providers in Idaho →

Registry record

NPI: 1619904638
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2006
Record last updated: 6 Sep 2012

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.