Kelly S Stagg, DPM

NPI #1316935117 in Ogden, Utah

Provider Information

NPI Number: 1316935117
Entity Type: Individual
Name: Kelly S Stagg, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Oct 6, 2005
Last Updated: Jan 18, 2017

Practice Location

Address: 4700 HARRISON BLVD
City: Ogden
State: Utah
ZIP Code: 84403-4303
Phone: (801) 475-3225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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