Individual
DR. DOUGLAS KENT STIGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1202 MORO ST, MANHATTAN, KS 66502-5353
(785) 539-6051
(785) 539-6074
Mailing address
1202 MORO ST, MANHATTAN, KS 66502-5353
(785) 539-6051
(785) 539-6074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1161-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091190A
—
KS
05
—
100091190B
—
KS
01
—
480922478
TRI-CARE
KS
01
—
704711 PAYER #90060
FIRST GUARD
KS
Enumeration date
07/07/2006
Last updated
05/26/2010
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