Roger L Stagg, MD
Roger L Stagg, MD is an Internal Medicine Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
190 E Bannock StBoise, ID 83712-6241
Phone: (208) 381-4100
Fax: (208) 381-1665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence M3453 (ID) |
|---|
Record details
| NPI number | 1164470613 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 5, 2006 |
| Last updated in NPPES | September 18, 2012 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
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