Mark S Stagg Dc Llc | |
231 Farmington Ave Ste 201, Farmington, CT 06032-1915 | |
(860) 674-0111 | |
Not Available |
Full Name | Mark S Stagg Dc Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 231 Farmington Ave Ste 201, Farmington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245289438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 001656 (Connecticut) | Primary |
Provider Name | Mark Stagg |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235188871 PECOS PAC ID: 5698761260 Enrollment ID: I20060605000197 |
Mailing Address | Practice Location Address |
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Mark S Stagg Dc Llc 231 Farmington Ave Ste 201, Farmington, CT 06032-1915 Ph: (860) 674-0111 | Mark S Stagg Dc Llc 231 Farmington Ave Ste 201, Farmington, CT 06032-1915 Ph: (860) 674-0111 |
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