DR. Richard Kelly Staggenborg, MD

NPI #1588699292 in Bandon, Oregon

Provider Information

NPI Number
1588699292
Entity Type
Individual
Name
DR. Richard Kelly Staggenborg, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychiatry & Neurology - Psychiatry
Credential
MD
Enumeration Date
Jul 11, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1010 1ST ST SE
City
Bandon
State
Oregon
ZIP Code
97411-9301
Phone
(541) 347-4736

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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