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Individual

STEPHEN HAGGARD

Active
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Individual

STEPHEN HAGGARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM PS

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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