Individual
STEPHEN HAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM PS
Contact information
Practice address
210 27TH AVE APT F105, MILTON, WA 98354-8330
(253) 334-5262
(253) 815-1651
Mailing address
PO BOX 506, MILTON, WA 98354-0506
(253) 661-5686
(253) 815-1651
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO00000399
WA
213ES0131X
Foot Surgery Podiatrist
PO00000399
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1000106734
PTAN
WA
Enumeration date
07/11/2006
Last updated
10/22/2019
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