Stagg, Gordon N
Stagg, Gordon N is an individual health care provider with primary practice located at 4401 Harrison Blvd , Ogden UT 84403-3195. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stagg, Gordon N can be contacted via phone (801) 387-7615.Contact Information
Primary practice address
4401 Harrison Blvd
Ogden UT 84403-3195
Phone: (801) 387-7615
Fax: (801) 387-7667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 179909-1205 | Utah |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 179909-1205 | Utah |
Profile Details
| NPI number | 1184636037 |
|---|---|
| LBN Legal business name | Stagg, Gordon N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 12th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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