Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL STAGG, CRNA
Active Sole ProprietorRUSSELL STAGG, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MEEKER, Colorado. NPI 1720356496 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MEEKER, CO
Registration Details
- NPI Number
- 1720356496
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2011 (14.498338434537 yrs)
- Last Updated
- Feb 2, 2021
- Licenses
-
6154226-3102 (UT)2012001556 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 PMC DRMEEKER, CO, 816413181Browse CO providers · Browse ZIP 81641
- Phone
- 9708789740
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
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.