DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER L STAGG, MD

Active

ROGER L STAGG, MD is a Internal Medicine healthcare provider located in BOISE, Idaho. NPI 1164470613 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · BOISE, ID

Registration Details

NPI Number
1164470613
Provider Type
Individual
Gender
Male
NPI Issued
May 5, 2006 (20.293777652876 yrs)
Last Updated
Sep 18, 2012
License
M3453 (ID)

Practice Information

Address
190 E BANNOCK ST
BOISE, ID, 837126241
Browse ID providers · Browse ZIP 83712
Phone
2083814100
Fax
2083811665
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in BOISE, ID

Name Credential NPI
DR. STEPHEN E SPENCER SR. MD 1376548230
DR. SUSAN ELIZABETH BAXTER MD 1417959842
LEE M KORNFIELD MD 1275527186
DR. GRETCHEN L KOHLER MD 1982698502
DR. PETER MATTHEW CLIFTEN M.D. 1760473771
DR. LESLEIGH A BOX MD 1720064785
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.